Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kimberly Anne Shore, PT

Individual provider Physical Therapist · NPI 1588816417

Mrs. Kimberly Anne Shore, PT is registered under Physical Therapist in Private Practice in Advance, North Carolina. Qualified in 2001, 25 years ago. Practices with Paragon Outpatient Rehabilitation Services LLC, a 200-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
25
Licensed in
NC
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

142 Bermuda Village Dr
Advance, NC 27006-7867 Not confirmed with CMS for 17 years — call before visiting
Phone: (336) 940-6433
Fax: (336) 940-6235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 8633 (NC)

Record details

NPI number1588816417
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedOctober 22, 2008
Last updated in NPPESOctober 22, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Paragon Outpatient Rehabilitation Services Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients28
Average patient age79

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Paragon Outpatient Rehabilitation Services LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 200 clinicians in the practice; 12 are shown here.

Other providers in Advance