Impackt Physical Therapy And Sports Recovery

LBN: Pack Physical Therapy, Inc.
Impackt Physical Therapy And Sports Recovery is an health care organization with primary practice located at 11531 S District Dr Ste 1200 , South Jordan UT 84095-5782. The organization recently has 5 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Ambulatory Health Care Facilities / Physical Therapy. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is the primary health care specialty. Pack Physical Therapy, Inc. can be contacted via phone (949) 350-6370, or through Pack, Brodie James via phone (801) 260-3100.

Contact Information

Primary practice address
11531 S District Dr Ste 1200 South Jordan UT 84095-5782
Phone: (949) 350-6370
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pack, Brodie James Master of Physical Therapy (MPT)
Phone: (801) 260-3100

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 28869 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X 28869 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 28869 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 28869 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1336413798
LBN Legal business name Pack Physical Therapy, Inc.
DBA Doing business as Impackt Physical Therapy And Sports Recovery
Authorized official Pack, Brodie James Master of Physical Therapy (MPT)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2012
Last updated Feb 7th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336413798 NPPES
Utah Other 2774652-2401 UTAH DEPARTMENT OF COMMERCE DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING

Popular Providers