Provider Demographics
NPI:1699650804
Name:AMRAP PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:AMRAP PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:910-736-1265
Mailing Address - Street 1:2446 SOMERSET PLACE DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-9624
Mailing Address - Country:US
Mailing Address - Phone:910-736-1265
Mailing Address - Fax:
Practice Address - Street 1:2446 SOMERSET PLACE DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-9624
Practice Address - Country:US
Practice Address - Phone:910-736-1265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy