Impact Physical Therapy Llc
LBN: Impact Physical Therapy Llc
Impact Physical Therapy Llc is an health care organization with primary practice located at 5415 W Lake Rd , Erie PA 16505-2841. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Impact Physical Therapy Llc can be contacted via phone (814) 838-2133, or through Cardman, Curtis via phone (814) 881-9193.
Contact Information
Primary practice address
5415 W Lake Rd
Erie PA 16505-2841
Phone: (814) 838-2133
Fax: (814) 838-2355
Website:
Authorized official contact:
Name: Cardman, Curtis Master of Physical Therapy (MPT)
Phone: (814) 881-9193
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT008392L | Pennsylvania |
| Other Service Providers / Specialist | 174400000X | PT006544L | Pennsylvania |
Profile Details
| NPI number | 1487885554 |
|---|---|
| LBN Legal business name | Impact Physical Therapy Llc |
| DBA Doing business as | |
| Authorized official | Cardman, Curtis Master of Physical Therapy (MPT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 6th, 2009 |
| Last updated | Sep 18th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487885554 | NPPES |
| Pennsylvania | Other | DR7707 | RAILROAD MEDICARE |
| Pennsylvania | MEDICAID | 1023738100001 | RAILROAD MEDICARE |
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