Organization Active NPI

Major Impact LLC

  • Physical Therapist
  • Panama City, FL
National Provider Identifier
1992696785
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MAJOR IMPACT LLC
Practice address
303 Aberdeen Pkwy
Panama City, FL 32405-6458
Phone
(770) 363-0539
NPI assigned
Jul 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Mattie MillikanNPI 1578210902
Title
Member
Phone
(770) 363-0539

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

303 Aberdeen Pkwy
Panama City, FL 32405-6458

Mailing address

118 N Gayle Ave
Panama City, FL 32401-4051
Phone (770) 363-0539

National Provider Directory

National Provider Directory

Locations

303 Aberdeen Pkwy
Panama City, FL 32405
Phone (770) 363-0539

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1992696785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N GAYLE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324014051",
            "telephone_number": "770-363-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 ABERDEEN PKWY",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324056458",
            "telephone_number": "770-363-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJOR IMPACT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "MILLIKAN",
        "authorized_official_first_name": "MATTIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "770-363-0539"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.