Organization Active NPI

Amanda Johnson Physical Therapy and Wellness, PLLC

  • Physical Therapist
  • Galveston, TX
National Provider Identifier
1952267817
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AMANDA JOHNSON PHYSICAL THERAPY AND WELLNESS, PLLC
Practice address
110 Trout St
Galveston, TX 77550-3134
Phone
(618) 499-0243
NPI assigned
Jan 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Amanda Johnson, PT, DPTNPI 1497625982
Title
Owner
Phone
(618) 499-0243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

110 Trout St
Galveston, TX 77550-3134

Mailing address

110 Trout St
Galveston, TX 77550-3134
Phone (618) 499-0243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260313000528 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7911480355 Receives reassigned benefits from 1 practitioner
Practice locations: Galveston, TX

National Provider Directory

National Provider Directory

Locations

2910 53rd St
Ste 5
Galveston, TX 77551
Phone (618) 499-0243

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1952267817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TROUT ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775503134",
            "telephone_number": "618-499-0243",
            "fax_number": "888-661-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 TROUT ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775503134",
            "telephone_number": "618-499-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA JOHNSON PHYSICAL THERAPY AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-499-0243",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.