IMPACT THERAPY & WELLNESS LLC
NPI 1013890128
Clinic/Center in Edgewater, FL
About Impact Therapy & Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMPACT THERAPY & WELLNESS LLC (NPI 1013890128) is a healthcare organization registered as a clinic/center in Edgewater, Florida and active in the NPI registry since July 2025. The organization lists Victoria Hill, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Impact Therapy & Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Impact Therapy & Wellness LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Impact Therapy & Wellness LLC's NPI number?
The NPI number for Impact Therapy & Wellness LLC is 1013890128. It was assigned to this organization in the NPPES registry on July 28, 2025.
Where is Impact Therapy & Wellness LLC located?
Impact Therapy & Wellness LLC is located at 131 Hotel Ave, Edgewater, FL 32132. The listed phone number is (954) 560-0782.
What is Impact Therapy & Wellness LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Impact Therapy & Wellness LLC enrolled in Medicare?
Yes. Impact Therapy & Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Impact Therapy & Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Occupational Therapist in Private Practice) reassigns their Medicare billing to Impact Therapy & Wellness LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Impact Therapy & Wellness LLC was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Impact Therapy & Wellness Llc · NPI 1013890128
Clinic/Center organization in Edgewater, Florida. Organization record, active in the CMS NPPES registry since July 28, 2025.
## Identity
- **NPI:** 1013890128 (Entity type: Organization)
- **Enumerated:** July 28, 2025
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Victoria Hill, CEO
## Practice location
- **Address:** 131 HOTEL AVE, Edgewater, FL 32132-2362
- **Phone:** (954) 560-0782
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Occupational Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013890128) · Data from the CMS NPPES public registry.