Individual provider Active NPI

Alexander Johnston

  • Physical Therapist
  • Kernersville, NC
National Provider Identifier
1619712262
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23315 Issued in NC
Practice address
905 Old Winston Rd Ste B
Kernersville, NC 27284-6640
Phone
(336) 992-2787
Fax
(336) 993-9943
NPI assigned
Jun 26, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P23315 NC Primary

Addresses

Primary practice location

905 Old Winston Rd Ste B
Kernersville, NC 27284-6640

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (570) 550-0168

Other practice location 1

4113 Brian Jordan Pl Ste 103
High Point, NC 27265-8369
Phone (919) 791-6678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024004565 NC Practitioner - Physical Therapist in Private Practice 0244763563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Activcare Physical Therapy, LLCGroup PAC ID 8628027471, 126 clinicians

Practice addresses (Care Compare)

905 Old Winston Rd
Suite B
Kernersville, NC 27284-6640
Phone (336) 992-2787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Aug 30, 2024 Accepting new patients
Amrap Physical Therapy LLC Current Accepting new patients
Best Physical Therapy, LLC Physical Therapist CurrentSince Jul 16, 2024 Accepting new patients
Best Physical Therapy, LLC Physical Therapist CurrentSince Jul 16, 2024 Accepting new patients
Carolina Physical Therapy Specialists, Inc Physical Therapist CurrentSince Aug 18, 2024 Accepting new patients
Best Physical Therapy, LLC PastSince Jun 1, 2024 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

4113 Brian Jordan Pl
Ste 103
High Point, NC 27265
Phone (336) 355-5958

4113 Brian Jordan Pl
High Point, NC 27265

905 Old Winston Rd
Ste B
Kernersville, NC 27284
Phone (336) 287-5526

9529 Chapel Hill Rd
Morrisville, NC 27560
Phone (888) 265-4003

3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042

Interoperability endpoints

  • Direct secure messaging: alexander.johnston.p12@direct.athleticoltd.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1619712262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "570-550-0168",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 OLD WINSTON RD STE B",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272846640",
            "telephone_number": "336-992-2787",
            "fax_number": "336-993-9943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4113 Brian Jordan Pl Ste 103",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272658369",
            "country_code": "US",
            "telephone_number": "919-791-6678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.