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Contact Information

IMPACT PHYSICAL THERAPY LLC
7727 W DEER VALLEY RD
PEORIA, AZ85382
 Phone: 623-208-7575
 Fax: 866-281-9664
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for IMPACT PHYSICAL THERAPY LLC

NPI # 1215319413
LBN Legal business name IMPACT PHYSICAL THERAPY LLC
Authorized official ERIC HEFFERON - (CEO/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/24/2015
Last updated 03/16/2022 - About 4 years ago
Identifiers
AZ License # 7917
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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