Impact Rehab, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

IMPACT REHAB, P.C.

Practice address

21720 Red Rum Dr Ste 187-192
Ashburn, VA 20147-5882

Phone

(240) 678-2237

NPI assigned

Mar 1, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Min Hah Ham, PT, DPT

Title

President

Phone

(240) 678-2237

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1962101824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21720 RED RUM DR STE 187-192",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21720 RED RUM DR STE 187-192",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475882",
            "telephone_number": "240-678-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT REHAB, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "HAM",
        "authorized_official_first_name": "MIN HAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-678-2237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.