IMPACT PHYSICAL THERAPY LLC
NPI 1215319413
Clinic/Center - Physical Therapy in Peoria, AZ
About Impact Physical Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMPACT PHYSICAL THERAPY LLC (NPI 1215319413) is a healthcare organization registered as a physical therapy in Peoria, Arizona and active in the NPI registry since June 2015. The organization maintains a secondary practice location in Glendale and lists Eric Hefferon, Ceo/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
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 Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Impact Physical Therapy LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (18)
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 Physical Therapy LLC's NPI number?
The NPI number for Impact Physical Therapy LLC is 1215319413. It was assigned to this organization in the NPPES registry on June 24, 2015.
Where is Impact Physical Therapy LLC located?
Impact Physical Therapy LLC is located at 7727 W Deer Valley Rd, Peoria, AZ 85382. The listed phone number is (623) 208-7575.
What is Impact Physical Therapy LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Impact Physical Therapy LLC enrolled in Medicare?
Yes. Impact Physical Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Impact Physical Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Impact Physical Therapy 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. Of these, 1 practice at this address and 6 within 10 miles. 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 Physical Therapy LLC was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 Physical Therapy Llc · NPI 1215319413
Physical Therapy organization in Peoria, Arizona. Organization record, active in the CMS NPPES registry since June 24, 2015.
## Identity
- **NPI:** 1215319413 (Entity type: Organization)
- **Enumerated:** June 24, 2015
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Eric Hefferon, CEO/OWNER
## Practice location
- **Address:** 7727 W DEER VALLEY RD, Peoria, AZ 85382
- **Phone:** (623) 208-7575 · **Fax:** (866) 281-9664
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1215319413) · Data from the CMS NPPES public registry.