IMPACT PHYSICAL THERAPY LLC (NPI# 1386109668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386109668 |
| Entity Type | Organization |
| Organization Name | IMPACT PHYSICAL THERAPY LLC |
| Practice Address |
7295 Sparta Pike Watertown TN 37184 |
| Practice Telephone | 6156972005 |
| Practice Fax Number | 6156972078 |
| Mailing Telephone | 6156972005 |
| Mailing Fax Number | 6156972078 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |
| Authorized Official Name | KIM MAYNARD (OFFICE MANAGER) |
| Authorized Official Telephone | 6154531422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1502771 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1487885554 | Impact Physical Therapy LLC | Specialist | 5415 W Lake Rd, Erie, PA 16505-2841 | 2009-08-06 |
| 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 |
7295 SPARTA PIKE |
| City | WATERTOWN |
| State | TN |
| Zip Code | 37184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407102155 | Erica Rae Barnes | Psychologist | 3400 Lebanon Pike (116b), Murfreesboro, TN 37184 | 2012-07-31 |
| 1588736771 | Terry L Jackson | Dentist | 121 West Main Street, Watertown, TN 37184 | 2006-11-14 |
| 1679037857 | Stephanie Bess | Behavior Technician | 121 Waters Ave, Watertown, TN 37184-1227 | 2019-01-22 |
| 1467947077 | Cameron Keith Spaulding | Dentist | 121 W Main St, Watertown, TN 37184-1314 | 2018-06-26 |
| 1669608733 | Watertown Drugs, Inc | Pharmacy | 406 Public Sq, Watertown, TN 37184-1421 | 2009-06-03 |
| 1346883568 | Carl Newton | Specialist/Technologist | 9360 Sparta Pike, Watertown, TN 37184-1428 | 2019-10-21 |
| 1275191645 | Calicia Jean Moss | Occupational Therapist | 6157 Greenvale Rd, Watertown, TN 37184-3812 | 2019-05-31 |
| 1346866365 | Therapy Abode LLC | Occupational Therapist | 6157 Greenvale Rd, Watertown, TN 37184-3812 | 2020-06-25 |
| 1144839549 | Kristin Nicole Hill | Nurse Practitioner | 2813 Bell Rd, Watertown, TN 37184-4716 | 2020-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811193 | Leah Marie Benz | Counselor | W3149 Koschnick Rd, Watertown, WI 53094-9415 | 2020-11-05 |
| 1043810013 | Alexa L Carolan | Nurse Practitioner | 24 Penny Ln, Watertown, CT 06795-1734 | 2020-10-29 |
| 1922606912 | Shaelynn Marie Miller | Licensed Practical Nurse | 22479 Echo Dr, Watertown, NY 13601-9334 | 2020-10-13 |
| 1942807268 | Kristine Marie Loomis | Massage Therapist | 41 Crestview Dr, Watertown, CT 06795-1814 | 2020-10-09 |
| 1760089163 | Progressive Therapy LLC | Occupational Therapist | 1027 2nd St Nw, Watertown, SD 57201-1301 | 2020-10-08 |
| 1952918187 | Evis Myftiu | Dentist | 151 Coolidge Ave Apt 213, Watertown, MA 02472-2865 | 2020-10-01 |
| 1104433820 | Jennifer Blaze Laclair | Nurse Practitioner | 26561 State Route 3, Watertown, NY 13601-1749 | 2020-09-27 |
| 1831705904 | New Moon Acupuncture Pllc | Preventive Medicine | 557 Mount Auburn St Ste 2, Watertown, MA 02472-4102 | 2020-09-23 |
| 1730795147 | Suong Bui | Student in an Organized Health Care Education/Training Program | 141 Breen Ave, Watertown, NY 13601-7394 | 2020-09-21 |
| 1508472994 | Woodcraft Design Build Inc | Contractor | 141 Lewis Ave S Apt 102, Watertown, MN 55388-4602 | 2020-09-21 |
| Find all providers in WATERTOWN | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437783248 | Matthew Ferrari | Physical Therapist | 85 Dunrobin Ln, Watertown, CT 06795-1711 | 2020-03-02 |
| 1083269393 | Gloria Christiano | Physical Therapist | 777 Echo Lake Rd Unit I, Watertown, CT 06795-6618 | 2019-08-04 |
| 1609438308 | Olga Mezhebovsky | Physical Therapist | 521 Mount Auburn St Ste 205, Watertown, MA 02472-4153 | 2019-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1043785264 | Christian Long | Physical Therapist | Watertown Regional Medical Center, 1684 S Church St, Watertown, WI 53094 | 2018-10-04 |
| 1962983932 | Mary Barthel | Physical Therapist | 200 Wesminster Ave. Nw, Watertown, MN 55388 | 2018-08-27 |
| 1023533973 | Elise Laura Jackson | Physical Therapist | 51 Water St # 205, Watertown, MA 02472-4611 | 2017-08-11 |
| 1891221370 | Connect Physical Therapy, LLC | Physical Therapist | 777 Echo Lake Rd, Suite I, Watertown, CT 06795-1637 | 2017-05-03 |
| 1831630086 | Myra Odenwaelder | Physical Therapist | 59 Aunt Olive Rd, Watertown, CT 06795-3236 | 2017-03-20 |
| 1518325000 | Lisa Adams | Physical Therapist | 76 King St, Watertown, MA 02472-3007 | 2016-01-29 |
| Find all providers in WATERTOWN | ||||
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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.