Organization Active NPI

Impact Performance Physical Therapy PLLC

  • Physical Therapist
  • Granbury, TX
National Provider Identifier
1588447312
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
IMPACT PERFORMANCE PHYSICAL THERAPY PLLC
Practice address
5420 E US Highway 377 # a
Granbury, TX 76049-7805
Phone
(999) 869-8999
NPI assigned
Aug 15, 2023
Last updated
Oct 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Brittany McCright, PTNPI 1093065252
Title
Owner
Phone
(940) 782-3158

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Physical Therapy Assistant 225200000X NU

Addresses

Primary practice location

5420 E US Highway 377 # a
Granbury, TX 76049-7805

Mailing address

5420 E US Highway 377 # a
Granbury, TX 76049-7805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240104002343 TX Part B Supplier - Clinic/Group Practice 3779934666 Receives reassigned benefits from 5 practitioners
Practice locations: Ft Worth, TX; Granbury, TX; Weatherford, TX

National Provider Directory

National Provider Directory

Locations

306 W 7th St
Ft Worth, TX 76102
Phone (682) 463-9289

100 Gateway Hills Ln
Ste A
Granbury, TX 76049
Phone (682) 463-9289

5420 E US Highway 377
#A
Granbury, TX 76049
Phone (999) 869-8999

129 Winners Cir
Weatherford, TX 76087
Phone (682) 463-9289

Practitioners & affiliated clinicians

Practitioners 5

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": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1588447312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 E US HIGHWAY 377 # A",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 E US HIGHWAY 377 # A",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497805",
            "telephone_number": "999-869-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT PERFORMANCE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "MCCRIGHT",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-782-3158",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.