Impact Therapy Group Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

IMPACT THERAPY GROUP INC

Practice address

7414 SW 129TH CT
Miami, FL 33183-3452

Phone

(860) 416-7248

NPI assigned

Mar 21, 2017

Organization subpart

No

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

Authorized official

Name

Jessica M CarosoNPI 1194029967

Title

President

Phone

(860) 416-7248

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jessica M. Caroso, CCC-SLP

  • Speech-Language Pathologist
  • Miami, FL
  • NPI 1194029967
  NPD Authorized official

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1538690797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7414 SW 129TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833452",
            "telephone_number": "860-416-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7414 SW 129TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833452",
            "telephone_number": "860-416-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT THERAPY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "CAROSO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-416-7248"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcello Immediato-Scuotto, DO
• Jerry Steven Immergluck, MD
• Imp Medical Equipments, Inc.
• Impact Lives Consulting Group LLC
• Impact Physical Therapy and Sports Performance Inc
• Imperial Filing Services, Corp
• Imperial Gardens Residential Care LLC
• Imperial Group Service, Inc.
• Imperial Health Systems, Inc
• Imperial Medical Health Care, Inc.

• Speech-Language Pathologist in Miami, FL
• Providers in Miami, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.