Healthcare Provider Details

I. General information

NPI: 1235033861
Provider Name (Legal Business Name): SUMMIT STRENGTH & REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 NEW RD
RALEIGH NC
27608-2705
US

IV. Provider business mailing address

625 NEW RD
RALEIGH NC
27608-2705
US

V. Phone/Fax

Practice location:
  • Phone: 919-228-8044
  • Fax:
Mailing address:
  • Phone: 919-228-8044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: LUCAS BLANKENSHIP
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 540-494-5019