IMPACT PHYSICAL THERAPY AND WELLNESS LLC (NPI# 1487151775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487151775 |
| Entity Type | Organization |
| Organization Name | IMPACT PHYSICAL THERAPY AND WELLNESS LLC |
| Practice Address |
4295 Sergeant Rd Sioux City IA 51106 |
| Mailing Address |
4295 Sergeant Rd Sioux City IA 51106-4625 |
| Practice Telephone | 5156642149 |
| Mailing Telephone | 7125600460 |
| Mailing Fax Number | 7125600460 |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | DR. KEITH ALAN ROED (PHYSICAL THERAPIST/OWNER) |
| Authorized Official Telephone | 7125600460 |
| Authorized Official Credential | PT, DPT, CMPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 004816 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4295 SERGEANT RD |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942597323 | Keith Roed | Physical Therapist | 4295 Sergeant Rd, Sioux City, IA 51106 | 2011-07-06 |
| 1811541626 | Rebecca Clark | Physical Therapy Assistant | 4295 Sergeant Rd, Sioux City, IA 51106-4625 | 2019-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534876 | Kimberly Pilar | Hearing Instrument Specialist | 4129 Gordon Dr, Sioux City, IA 51106 | 2020-03-23 |
| 1548810625 | Morgan Elizabeth Spielman | Registered Nurse | 4527 Hawthorne Drive, Sioux City, IA 51106 | 2019-09-19 |
| 1316476062 | Atalie Elise Arnold | Behavioral Analyst | 5610 Myers Avenue, Sioux City, IA 51106 | 2017-06-07 |
| 1033507207 | Juan Pablo Munoz | Chiropractor | 3206 Singing Hills Blvd, Sioux City, IA 51106 | 2014-12-22 |
| 1649554932 | Samuel John Huff | Pharmacist | 6734 Kokopelli Pl, Sioux City, IA 51106 | 2011-10-05 |
| 1821386616 | Jennifer Lynae Smith | Dentist | 5708 Sunnybrook Dr., Sioux City, IA 51106 | 2011-07-14 |
| 1639475239 | Northland Hearing Centers, Inc. | Audiologist | 4301 Sergeant Rd., Suite 109, Sioux City, IA 51106 | 2011-01-31 |
| 1588895023 | Kelly Ann Hancock | Nurse Practitioner | 2467 Sergeant Road, Sioux City, IA 51106 | 2009-07-31 |
| 1346419447 | Jean Marie Duran | Hearing Instrument Specialist | 4301 Sergeant Rd Ste 109, Sioux City, IA 51106 | 2008-02-22 |
| 1972706794 | Marcus Michael Witter | Physical Therapist | 4300 South Lakeport Road, Suite 101, Sioux City, IA 51106 | 2007-06-08 |
| Find all providers in zip 51106 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366971996 | Kelsey Rae Tobin | Physical Therapist | 2828 Summit St, Sioux City, IA 51104-3743 | 2017-06-07 |
| 1629505359 | Mark Robert Wilcox | Physical Therapist | 915 Pierce Street, Sioux City, IA 51101-1031 | 2017-05-12 |
| 1437407061 | John Joseph Anzalone | Physical Therapist | 2802 Castles Gate Dr., Sioux City, IA 51106-0707 | 2012-08-29 |
| 1558619049 | Integration Physical Therapy, LLC | Physical Therapist | 3450 S Lakeport St Ste B, Sioux City, IA 51106-4543 | 2012-08-15 |
| 1942597323 | Keith Roed | Physical Therapist | 4295 Sergeant Rd, Sioux City, IA 51106 | 2011-07-06 |
| 1972706794 | Marcus Michael Witter | Physical Therapist | 4300 South Lakeport Road, Suite 101, Sioux City, IA 51106 | 2007-06-08 |
| 1902947195 | Soren Long Grieve | Physical Therapist | 3439 Glen Oaks Blvd, Sioux City, IA 51104-1761 | 2007-02-09 |
| 1831278571 | Stephen Leo Venne | Physical Therapist | 2802 Castles Gate Dr, Sioux City, IA 51106-7203 | 2006-11-03 |
| 1063448801 | Physical Therapy Specialists PC | Physical Therapist | 915 Pierce St., Sioux City, IA 51101-1031 | 2006-06-23 |
| 1275575805 | St Luke's Health Resources | Physical Therapist | 4230 Hickory Ln, Sioux City, IA 51106-4604 | 2006-06-11 |
| Find all providers in SIOUX CITY | ||||
| City | SIOUX CITY |
| Zip Code | 51106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.