Impact Physical Therapy Llc - Medicare in Peoria, AZ

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Impact Physical Therapy Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Peoria, Arizona. Their current practice location is 7727 W Deer Valley Rd, Peoria, Arizona. You can reach out to their office (for appointments etc.) via phone at (623) 208-7575.

Impact Physical Therapy Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Impact Physical Therapy Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1215319413.

Contact Information

Impact Physical Therapy Llc
7727 W Deer Valley Rd,
Peoria, AZ 85382
(623) 208-7575
(866) 281-9664

Map and Direction




Healthcare Provider's Profile

Full NameImpact Physical Therapy Llc
TypeFacility
SpecialityClinic/center - Physical Therapy
Location7727 W Deer Valley Rd, Peoria, Arizona
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215319413
  • Provider Enumeration Date: 06/24/2015
  • Last Update Date: 03/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4789978735
  • Enrollment ID: O20161014000019

Medical Identifiers

Medical identifiers for Impact Physical Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215319413NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 7917 (Arizona)Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Impact Physical Therapy Llc acts as a billing entity for following providers:
Provider NameEric Hefferon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295061430
PECOS PAC ID: 0446399596
Enrollment ID: I20091202000337
Provider NameTamara Hefferon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508248816
PECOS PAC ID: 5698069649
Enrollment ID: I20180313001539
Provider NamePatricia Rodl Odriscoll
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093219875
PECOS PAC ID: 6406119817
Enrollment ID: I20180418000674
Provider NameAshley E Wissink
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285125153
PECOS PAC ID: 4385992544
Enrollment ID: I20180803000647
Provider NameJohn Bott
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144774605
PECOS PAC ID: 5294019220
Enrollment ID: I20190416003077
Provider NameUche Patrick Nwambuonwo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437719333
PECOS PAC ID: 3072842798
Enrollment ID: I20190905002409
Provider NameMatthew S Koster
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801555941
PECOS PAC ID: 8628469731
Enrollment ID: I20211228002370
Provider NameBrian Matthew Malone
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558936385
PECOS PAC ID: 3476947110
Enrollment ID: I20220223001931
Provider NameXavier Jesus Villanueva
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366161671
PECOS PAC ID: 7911375506
Enrollment ID: I20221202000656
Provider NameMadison Nichole Aguon Taitano
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538876610
PECOS PAC ID: 7517330152
Enrollment ID: I20230302001297
Provider NameMatthew Kassir
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881378354
PECOS PAC ID: 2365898681
Enrollment ID: I20231023003339

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Impact Physical Therapy Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
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

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.