Impact Performance Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT016748 Issued in OH

Legal business name

IMPACT PERFORMANCE THERAPY

Practice address

21 W Columbus St
Columbus, OH 43229-1055

Phone

(717) 599-0131

NPI assigned

Mar 14, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Anthony S Farina, PT, DPT, MS, CSCSNPI 1508306085

Title

President, Physical Therapist

Phone

(717) 599-0131

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Anthony Farina, DPT

  • Physical Therapist
  • Pickerington, OH
  • NPI 1508306085
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1790288983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 HILL RD N",
            "address_2": "PMB 321",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "43147",
            "telephone_number": "717-599-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W COLUMBUS ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291055",
            "telephone_number": "717-599-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT PERFORMANCE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "FARINA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "717-599-0131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, MS, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "PT016748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy A Imm, M.D.
• John G. Imm III, D.D.S.
• Immaculate Homehealth Care Services LLC
• Impact Care Ohio LLC.
• Impact Pediatrics, LLC
• Angdi K. Impelee
• Imperial Comfort Home Health Agency
• Implied Human Dynamics Personal Care Home
• Important Individuals Supported Living
• Sehyr Imran, M.D.

• Physical Therapy Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.