IMPACT PHYSICAL THERAPY AND PERFORMANCE, P.C.


Address: 34 Serenity Ln, Laguna Niguel, CA 92677-5905
Phone: 9493789985

IMPACT PHYSICAL THERAPY AND PERFORMANCE, P.C. (NPI# 1346706025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346706025
Entity Type Organization
Organization Name IMPACT PHYSICAL THERAPY AND PERFORMANCE, P.C.
Other Organization Name KO GOLF PERFORMANCE AND PHYSICAL THERAPY, P.C.
Practice Address 34 Serenity Ln
Laguna Niguel
CA 92677-5905
Practice Telephone 9493789985
Enumeration Date 2019-02-18
Last Update Date 2020-06-12
Authorized Official Name KEVIN JOHN O'CONNOR (OWNER - PHYSICAL THERAPIST)
Authorized Official Telephone 9493789985
Authorized Official Credential PT, DPT, OCS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider/Organization Names

Other Name Type Code
KO Golf Performance and Physical Therapy, P.C. Former Legal Business Name - Organization

Office Location

Street Address 34 SERENITY LN
City LAGUNA NIGUEL
State CA
Zip Code 92677-5905

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063978740 Ak Physical Therapy, P.C. Physical Therapist 34 Serenity Ln, Laguna Niguel, CA 92677-5905 2019-02-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114566049 Amber Kramer Physical Therapist 30100 Town Center Drive #yz, Laguna Niguel, CA 92677 2019-12-23
1811548340 Morgan Peikar Rehabilitation Hospital 28441 Springfield Dr, Laguna Niguel, CA 92677 2019-09-25
1871056382 Jacqueline Evamarie Serrano Chiropractor 28062 Forbes Road, Laguna Niguel, CA 92677 2019-04-11
1316408859 Azadeh Ghafari Social Worker 30100 Town Center Dr # 179, Laguna Niguel, CA 92677 2019-03-27
1346741857 Diana Wang Physical Medicine & Rehabilitation 30100 Town Center Drive Suite, Suite Yz, Laguna Niguel, CA 92677 2018-02-21
1750833554 James H. Tran Dds, Dental Corp. Dentist 23876 Aliso Creek Road, Laguna Niguel, CA 92677 2016-10-27
1215486139 Kevin Sun Dentist 49 Blue Horizon, Laguna Niguel, CA 92677 2016-10-04
1740637842 Michael Dacosta Dentist 28862 Calle Vista, Laguna Niguel, CA 92677 2016-05-18
1235590373 Adrian Gomez Counselor 24361 Nugget Falls Ln, Laguna Niguel, CA 92677 2016-03-17
1427455906 Gracie Heart Home Health LLC Home Health 24318 El Pilar, Laguna Niguel, CA 92677 2014-11-26
Find all providers in zip 92677

Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174157762 Frances Leong Physical Therapist 4 Mykonos, Laguna Niguel, CA 92677-8905 2020-02-24
1063978740 Ak Physical Therapy, P.C. Physical Therapist 34 Serenity Ln, Laguna Niguel, CA 92677-5905 2019-02-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568063311 Kayla Utley Physical Therapist 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 2020-11-06
1184225054 Vuk Ekmecic Physical Therapist 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 2020-11-05
1932700283 Christopher Lui Physical Therapist 21621 E Bluebell Ct, Walnut, CA 91789-1443 2020-11-03
1952900789 Sierra Speck Physical Therapist 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 2020-10-22
1992312086 Heidi Lynne Anders Physical Therapist 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 2020-09-23
1578176780 Patricia Isabella Commer Physical Therapist 4146 Randolph Ave, Oakland, CA 94602-1314 2020-08-26
1376151126 Yifu Zhou Physical Therapist 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 2020-07-17
1033732250 Sync Physical Therapy & Yoga Inc Physical Therapist 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 2020-05-21
1043830961 Dr. Holly Physical Therapy Physical Therapist 4500 Shepard St, Bakersfield, CA 93313-2326 2020-04-21
1861011744 Lauren Jarmusz Physical Therapist 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 2020-04-10
Find all providers with the same taxonomy

Competitor

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City LAGUNA NIGUEL
Zip Code 92677

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Dataset Information

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.

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