Impact Physical Therapy, Llc

LBN: Impact Physical Therapy, Llc
Impact Physical Therapy, Llc is an health care organization with primary practice located at 625 Ramsey Ave Suite B, Grants Pass OR 97527-5808. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Impact Physical Therapy, Llc can be contacted via phone (541) 476-1919, or through Campos, Carie A via phone (541) 476-1919.

Contact Information

Primary practice address
625 Ramsey Ave Suite B Grants Pass OR 97527-5808
Phone: (541) 476-1919
Fax: (541) 476-1920
Website:
Map and Directions
Authorized official contact:
Name: Campos, Carie A
Phone: (541) 476-1919

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1083655260
LBN Legal business name Impact Physical Therapy, Llc
DBA Doing business as
Authorized official Campos, Carie A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Feb 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083655260 NPPES
Oregon Other CG5252 MEDICARE RAILROAD

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