Impact Physical Therapy, LLC

PAC ID

8123106077The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Clinic/Group Practice

Enrolled in

TN

Enrollments

1

Group size

3 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

2In 2 places

Enrollment records 1

These NPI records belong to the same enrolled organization. Each has its own page.

• Impact Physical Therapy, LLC

  • Physical Therapist
  • Lebanon, TN
  • NPI 1174709430
• Impact Physical Therapy LLC

  • Physical Therapist
  • Watertown, TN
  • NPI 1386109668

Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (3).

• Angela L Barham, PT

  • Physical Therapist
  • Nashville, TN
  • NPI 1538471164
• John R Boucher, P.T.

  • Physical Therapist
  • Lebanon, TN
  • NPI 1457371718
• Van Huffine I, OT

  • Occupational Therapist
  • Winfield, IN
  • NPI 1043234982
• Anthony Weerts

  • Physical Therapist
  • Murfreesboro, TN
  • NPI 1649383589
• Carmen Yvonne Williams, PT

  • Physical Therapist
  • Mount Juliet, TN
  • NPI 1417129909

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.