NPIMap

Organization Active NPI

Impact Education and Consulting, LLC

Doing business as Impact Therapy & Health Services

  • Rehabilitation Practitioner
  • Mason, OH
National Provider Identifier
1316727324
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
IMPACT EDUCATION AND CONSULTING, LLC
Doing business as
Impact Therapy & Health Services
Practice address
6338 Snider Rd Unit 104
Mason, OH 45040-5105
Phone
(513) 204-9718
NPI assigned
Oct 5, 2023
Last updated
Oct 5, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
IMPACT EDUCATION AND CONSULTING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Rollanda Moore, PT, DPT, RN, BSN, MSNPI 1083761514
Title
Clinical Director
Phone
(321) 208-3891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU
Rehabilitation Registered Nurse 163WR0400X NU
Physical Therapist 225100000X NU
Geriatric Physical Therapist 2251G0304X NU
Rehabilitation Practitioner 225400000X NU Primary

Addresses

Primary practice location

6338 Snider Rd Unit 104
Mason, OH 45040-5105

Mailing address

PO Box 104
Mason, OH 45040-0104
Phone (513) 204-9718

Other names 1

  • Impact Therapy & Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Impact Education and Consulting LLC2 organizations share this tax ID, including this one
Part of
Impact Education and Consulting LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1316727324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 104",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450400104",
            "telephone_number": "513-204-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6338 SNIDER RD UNIT 104",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450405105",
            "telephone_number": "513-204-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT EDUCATION AND CONSULTING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMPACT EDUCATION AND CONSULTING, LLC",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROLLANDA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "321-208-3891",
        "authorized_official_credential": "PT, DPT, RN, BSN, MS"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impact Therapy & Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.