Healthcare Provider Details

I. General information

NPI: 1841128790
Provider Name (Legal Business Name): FRANKLIN W REPPY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 KIMEL PARK DR
WINSTON SALEM NC
27103-6946
US

IV. Provider business mailing address

312 ASHFORD CT
WINSTON SALEM NC
27103-6251
US

V. Phone/Fax

Practice location:
  • Phone: 757-477-1743
  • Fax:
Mailing address:
  • Phone: 757-477-1743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP24844
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: