Impact Therapy Solutions, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

IMPACT THERAPY SOLUTIONS, LLC

Practice address

201 Paloma Dr
Temple, TX 76502

Phone

(254) 892-0527

Fax

(254) 853-4959

NPI assigned

Jul 18, 2018

Organization subpart

No

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

Authorized official

Name

Elijah St JohnNPI 1699252247

Title

Owner

Phone

(936) 204-0522

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Elijah St John, PTA

  • Physical Therapist
  • Temple, TX
  • NPI 1699252247
  NPD Authorized official

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1851877286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PALOMA DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765022211",
            "telephone_number": "254-892-0527",
            "fax_number": "254-853-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PALOMA DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76502",
            "telephone_number": "254-892-0527",
            "fax_number": "254-853-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT THERAPY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "ST JOHN",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-204-0522"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "397618501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Iassogna, RN
• Alejandra Ibarra, PHARMD
• Azan Ibrahim, MD
• John W Idoux, MD
• Stavroula Ikonomakou-Nikolaidis, MD
• In Vision Eye Care, LLC
• Sharon Ince, D.O.
• Lisa Rose Inchani, MD, MPH
• Crystal Danielle Ingram, MRC
• Inner Joy Services

• Physical Therapist in Temple, TX
• Providers in Temple, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.