Impact Sports Physical Therapy LLC

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

Legal business name

IMPACT SPORTS PHYSICAL THERAPY LLC

Practice address

121 Industry LN
Forest Hill, MD 21050-1621

Phone

(410) 684-5642

Fax

(443) 632-0521

NPI assigned

Mar 27, 2023

Organization subpart

No

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

Authorized official

Name

Joshua PlummerNPI 1780097113

Title

Co-Owner

Phone

(410) 684-5642

Specialties & licenses 1

Addresses

Tax ID family

Impact Sports Physical Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Impact Sports Physical Therapy LLC

  • Physical Therapist
  • Hanover, MD
  • NPI 1770007411
  NPD tax ID

Practitioners 1

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

• Joshua Allen Plummer, PT, DPT

  • Physical Therapist
  • Hanover, MD
  • NPI 1780097113
  NPD Authorized official

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1467155499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8816 DOVE DR",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289000",
            "telephone_number": "410-684-5642",
            "fax_number": "443-632-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 INDUSTRY LN",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210501621",
            "telephone_number": "410-684-5642",
            "fax_number": "443-632-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT SPORTS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "PLUMMER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "410-684-5642"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Hollida, LGPC
• Cynthia Lynn Hull, PHARMD
• Amy Hurst, PA-C
• Christine Hussung, COTA/L
• Serge Tiyong Ifoue, PHARMD
• Integrahealth LLC
• Integrated Rehab Consultants LLC
• It Is All His, LLC
• Sanaz Izadi, D.D.S
• Wanda Elizabeth Jackson

• Sports Physical Therapist in Forest Hill, MD
• Providers in Forest Hill, MD by specialty
• Sports Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.