Impact Physical Therapy Llc | |
7727 W Deer Valley Rd, Peoria, AZ 85382 | |
(623) 208-7575 | |
(866) 281-9664 |
Full Name | Impact Physical Therapy Llc |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 7727 W Deer Valley Rd, Peoria, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215319413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 7917 (Arizona) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Eric Hefferon |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295061430 PECOS PAC ID: 0446399596 Enrollment ID: I20091202000337 |
Provider Name | Elise Harris |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619384294 PECOS PAC ID: 2264651371 Enrollment ID: I20161221000881 |
Provider Name | Tamara Hefferon |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508248816 PECOS PAC ID: 5698069649 Enrollment ID: I20180313001539 |
Provider Name | Patricia Rodl Odriscoll |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093219875 PECOS PAC ID: 6406119817 Enrollment ID: I20180418000674 |
Provider Name | Ashley E Wissink |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285125153 PECOS PAC ID: 4385992544 Enrollment ID: I20180803000647 |
Provider Name | Uche Patrick Nwambuonwo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437719333 PECOS PAC ID: 3072842798 Enrollment ID: I20190905002409 |
Provider Name | Emily J Terpay |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871130492 PECOS PAC ID: 5395165518 Enrollment ID: I20201008003131 |
Provider Name | Matthew S Koster |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801555941 PECOS PAC ID: 8628469731 Enrollment ID: I20211228002370 |
Provider Name | Brian Matthew Malone |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558936385 PECOS PAC ID: 3476947110 Enrollment ID: I20220223001931 |
Provider Name | Olivia Rose Demichele |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710614938 PECOS PAC ID: 4688058480 Enrollment ID: I20220829000393 |
Provider Name | Madison Nichole Aguon Taitano |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538876610 PECOS PAC ID: 7517330152 Enrollment ID: I20230302001297 |
Provider Name | Leah N Taylor |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639878069 PECOS PAC ID: 4688048572 Enrollment ID: I20230315002685 |
Provider Name | Jennifer L Torres |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841981412 PECOS PAC ID: 9931565439 Enrollment ID: I20230524003621 |
Provider Name | Courtney Colyer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740925593 PECOS PAC ID: 5890172662 Enrollment ID: I20230828000097 |
Provider Name | Brianna Rae Ramsey |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598544264 PECOS PAC ID: 8820520570 Enrollment ID: I20241018001515 |
Provider Name | Cassidy R Elinski |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366251712 PECOS PAC ID: 5092244400 Enrollment ID: I20250130002002 |
Provider Name | Elijah Brechbill |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124842281 PECOS PAC ID: 1355871914 Enrollment ID: I20250211003917 |
Mailing Address | Practice Location Address |
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Impact Physical Therapy Llc 7727 W Deer Valley Rd, Peoria, AZ 85382-2116 Ph: (623) 208-7575 | Impact Physical Therapy Llc 7727 W Deer Valley Rd, Peoria, AZ 85382 Ph: (623) 208-7575 |