IMPACT PERFORMANCE THERAPY (NPI# 1790288983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790288983 |
| Entity Type | Organization |
| Organization Name | IMPACT PERFORMANCE THERAPY |
| Practice Address |
21 W Columbus St Columbus OH 43229-1055 |
| Mailing Address |
1209 Hill Rd N Pmb 321 Pickerington OH 43147 |
| Practice Telephone | 7175990131 |
| Mailing Telephone | 7175990131 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | DR. ANTHONY S FARINA (PRESIDENT, PHYSICAL THERAPIST) |
| Authorized Official Telephone | 7175990131 |
| Authorized Official Credential | PT, DPT, MS, CSC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT016748 | OH | Ambulatory Health Care Facilities |
| Street Address |
21 W COLUMBUS ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43229-1055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760095988 | Place of Hope Inc. | Non-emergency Medical Transport (VAN) | 1395 E Dublin Granville Rd, Ste 321 #b, Columbus, OH 43229 | 2020-08-27 |
| 1831724723 | Delvonne Mcadoo | Technician | 6075 Lepage Court, Columbus, OH 43229 | 2020-03-11 |
| 1962963405 | Kayrisha Merica Taylor | Case Manager/Care Coordinator | 5900a Sharron Woods, Columbus, OH 43229 | 2019-03-27 |
| 1467922435 | Latoya Kaye Ogden | Case Manager/Care Coordinator | 4987 Karl Rd, Columbus, OH 43229 | 2018-12-03 |
| 1265900393 | Christiana Brown | Case Manager/Care Coordinator | 5900a Sharonwoods Blvd, Columbus, OH 43229 | 2018-11-07 |
| 1275008781 | La Kenya Renee Turner | Case Manager/Care Coordinator | 5900 Sharonwoods Blvd, Columbus, OH 43229 | 2018-10-11 |
| 1811490295 | Tiffany Nicole Anderson | Case Manager/Care Coordinator | 5900 Sharonwood Dr., Columbus, OH 43229 | 2018-03-13 |
| 1184138398 | Samyell Terry | Case Manager/Care Coordinator | 5900 Sharonwoods, Col, OH 43229 | 2017-11-27 |
| 1619481108 | Ohio Sleep Treatment LLC | Dentist | 6500 Busch Blvd Ste 104, Columbus, OH 43229 | 2017-11-20 |
| 1740793629 | Mary Ervine | Case Manager/Care Coordinator | 5900 Sharonwoods Blv, Columbus, OH 43229 | 2017-11-14 |
| Find all providers in zip 43229 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113462 | Restorative Physical Therapy Co | Clinic/Center | 4770 Indianola Ave Ste 102, Columbus, OH 43214-1862 | 2020-08-09 |
| 1811519655 | Flourish Columbus, Inc | Clinic/Center | 728 3rd St, Columbus, IN 47201-6813 | 2020-05-14 |
| 1205470606 | Sole Physical Therapy LLC | Clinic/Center | 1562 King Ave, Columbus, OH 43212-2124 | 2019-10-30 |
| 1043757750 | One To One Physical Therapy and Pilates Fitness LLC | Clinic/Center | 3805 N High St Ste 200, Columbus, OH 43214-3539 | 2017-01-20 |
| 1861843922 | One To One Physical Therapy and Pilates Fitness LLC | Clinic/Center | 508 Tibet Rd, Columbus, OH 43202-2232 | 2016-06-29 |
| 1952645046 | Advance Sports Therapeutics | Clinic/Center | 1200 Steelwood Rd Ste B, Columbus, OH 43212-1371 | 2012-11-15 |
| 1679866545 | Summit Health & Rehab Services, Inc | Clinic/Center | 6850 River Rd, Columbus, GA 31904-2388 | 2011-05-25 |
| 1255631420 | Select Physical Therapy Holdings Inc | Clinic/Center | 2675 Fox Pointe Dr, Suite D, Columbus, IN 47203-3390 | 2010-10-22 |
| 1114253077 | Futures Unlimited Neurophysical Health & Restoration Center | Clinic/Center | 128 S Mccrary Rd, Columbus, MS 39702-6320 | 2009-10-28 |
| 1245429661 | Personal Touch Therapy LLC | Clinic/Center | 5957 Cleveland Ave, Columbus, OH 43231-2202 | 2007-10-22 |
| Find all providers in COLUMBUS | ||||
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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.