Impact Health and Performance, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

IMPACT HEALTH AND PERFORMANCE, LLC

Practice address

180 Alt 19N
Suite B
Palm Harbor, FL 34683-5308

Phone

(727) 785-8737

Fax

(727) 786-8546

NPI assigned

Apr 1, 2011

Organization subpart

No

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

Authorized official

Name

Joseph D Millen, PT

Title

Owner

Phone

(727) 785-8737

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1770872509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ALT 19N",
            "address_2": "SUITE B",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835308",
            "telephone_number": "727-785-8737",
            "fax_number": "727-786-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ALT 19N",
            "address_2": "SUITE B",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835308",
            "telephone_number": "727-785-8737",
            "fax_number": "727-786-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT HEALTH AND PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "MILLEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-785-8737",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I Rehab Now LLC
• Mark D Iacobucci, P. T.
• Brooke Aleah Ianiero, DPT
• Marie Graf Ibrahim, RDN
• Marina Ibrahim, PHARMD.
• Judith Brantley Inghram, BCBA
• Stacey Ingram
• Inner Peace Counseling & Wellness
• Innovative Care Network LLC
• Innovative Wellness, Inc.

• Physical Therapy Clinic/Center in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.