IMPACT PHYSICAL THERAPY LLC (NPI# 1487885554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487885554 |
Entity Type | Organization |
Organization Name | IMPACT PHYSICAL THERAPY LLC |
Practice Address |
5415 W Lake Rd Erie PA 16505-2841 |
Practice Telephone | 8148382133 |
Practice Fax Number | 8148382355 |
Mailing Telephone | 8148382133 |
Mailing Fax Number | 8148382355 |
Enumeration Date | 2009-08-06 |
Last Update Date | 2014-09-18 |
Authorized Official Name | CURTIS CARDMAN (OWNER) |
Authorized Official Telephone | 8148819193 |
Authorized Official Credential | MPT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | PT006544L | PA | Other Service Providers |
Y | 174400000X | Specialist | PT008392L | PA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | RAILROAD MEDICARE | DR7707 | 01 |
PA | 1023738100001 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386109668 | Impact Physical Therapy LLC | Physical Therapist | 7295 Sparta Pike, Watertown, TN 37184 | 2019-01-31 |
1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
1215319413 | Impact Physical Therapy LLC | Physical Therapist | 19420 N 59th Ave, Ste E500, Glendale, AZ 85308-6817 | 2015-06-24 |
1447425103 | Impact Physical Therapy LLC | Physical Therapist | 5431 Edmondson Pike, Suite 20, Nashville, TN 37211-5806 | 2008-04-24 |
Street Address |
5415 W LAKE RD |
City | ERIE |
State | PA |
Zip Code | 16505-2841 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548545668 | Barbara Gleason | Physical Therapist | 5415 W Lake Rd, Erie, PA 16505-2841 | 2011-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
Find all providers in zip 16505 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437789740 | Kate Beer | Specialist | 3357 W 43rd St, Erie, PA 16506-4233 | 2020-01-26 |
1548666829 | Elizabeth Kennerknecht | Specialist | 2702 Cascade St, First Floor Front, Erie, PA 16508-1506 | 2014-11-13 |
1265735450 | Beth A. Mccartney | Specialist | 4109 W 28th St, Erie, PA 16506-1805 | 2010-12-10 |
1851602635 | Martha Amanda Watson | Specialist | 210 Fieldstone Way, Erie, PA 16505-5804 | 2010-06-28 |
1437396603 | Sandra M. Lawrence | Specialist | 7520 Peach St, Erie, PA 16509-4715 | 2009-01-09 |
1336399633 | Tri-state Anesthesia Services, Inc. | Specialist | 444 W 8th St, Erie, PA 16502-1385 | 2008-09-23 |
1659544856 | Arthur Oligeri IIi | Specialist | 220 Millcreek Plz, 2070 Interchange Road, Erie, PA 16565-1102 | 2008-04-08 |
1033279120 | Laparoscopic & General Surgery Inc | Specialist | 5040 W Ridge Rd, Suite 208, Erie, PA 16506-1261 | 2006-12-11 |
1255425435 | Gerald Dion Garcia | Specialist | 4355 Peach St, Erie, PA 16509-1442 | 2006-10-03 |
1720004179 | Ashley & Kuzma Therapeutics, P.C. | Specialist | 2111 W 8th St, Erie, PA 16505-4707 | 2006-07-15 |
Find all providers in ERIE |
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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.