Impact Therapy & Wellness LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

IMPACT THERAPY & WELLNESS LLC

Practice address

131 Hotel Ave
Edgewater, FL 32132-2362

Phone

(954) 560-0782

NPI assigned

Jul 28, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victoria Hill, OTR/L

Title

Ceo

Phone

(954) 560-0782

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria Esham, OTR/L

  • Occupational Therapist
  • Edgewater, FL
  • NPI 1508678624
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1013890128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 HOTEL AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321322362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 HOTEL AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321322362",
            "telephone_number": "954-560-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT THERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-560-0782",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E Hole, P.O.
• Susan A Hole, D.O.
• Holiday CVS LLC
• Donald J Huggard, PA
• Andrea Kelly Hughes, NP
• Intercoastal Orthotics & Prosthetics, LLC
• Iq Academy. Inc
• Michael Eugene Johnson, M.D.
• K Ville LLC
• Amy Jo Kelly

• Clinic/Center in Edgewater, FL
• Providers in Edgewater, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.