IMPACT ORTHOPEDICS
NPI 1255519799
Prosthetic/Orthotic Supplier in Charlotte, NC

Active since February 06, 2008
3210 PROSPERITY CHURCH RD STE 101, CHARLOTTE, NC 28269(704) 510-2204(704) 510-2218 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2019, Mar 14, 2019, Mar 1, 2019 and 1 more (4 updates tracked since 2015).

About Impact Orthopedics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMPACT ORTHOPEDICS (NPI 1255519799) is a healthcare organization registered as a prosthetic/orthotic supplier in Charlotte, North Carolina and active in the NPI registry since February 2008. The organization maintains a secondary practice location in Charlotte and lists Rico Darryl Phronebarger, Co-owner/manager, as its authorized official.

NPPES Registry Identity

NPI1255519799
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameIMPACT PROSTHETIC SOLUTIONS, LLC
Location Address3210 PROSPERITY CHURCH RD STE 101Charlotte, NC 28269-8194
Mailing Address3210 Prosperity Church Rd Ste 101Charlotte, NC 28269-8194 · (704) 510-2204 · Fax (704) 510-2218
Fax(704) 510-2218
Organization SubpartNo
Authorized OfficialRico Darryl PhronebargerCo-owner/manager · (704) 510-2204
Enumeration DateFebruary 6, 2008
Last NPPES UpdateJune 11, 20194 updates tracked since enumeration
NPI 1255519799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

3210 PROSPERITY CHURCH RD STE 101, Charlotte, NC 28269

Other Names 2

Doing Business AsImpact Orthopedics
Doing Business AsImpact Prosthetics & Orthotics

Secondary Practice Location 1

Location 12614 East 7th Street, Suite BCharlotte, NC 28204-4375 · Phone (704) 510-2204 · Fax (704) 510-2218

Other Identifiers 1

Medicaid7704797NC

Accepted Insurance

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
3210 PROSPERITY CHURCH RD STE 101
CHARLOTTE, NC 28269
Prosthetic/Orthotic Supplier
3210 PROSPERITY CHURCH RD STE 101
CHARLOTTE, NC 28269
Social Worker (Clinical)
3210 PROSPERITY CHURCH RD STE 101
CHARLOTTE, NC 28269
Prosthetist
3210 PROSPERITY CHURCH RD STE 101
CHARLOTTE, NC 28269
Community/Behavioral Health
3210 PROSPERITY CHURCH RD STE 101
CHARLOTTE, NC 28269
Community/Behavioral Health
3210 PROSPERITY CHURCH RD STE 101
CHARLOTTE, NC 28269

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 Prosthetic Solutions, LLC's NPI number?

The NPI number for Impact Prosthetic Solutions, LLC is 1255519799. It was assigned to this organization in the NPPES registry on February 6, 2008. The provider is doing business as Impact Orthopedics and Impact Prosthetics & Orthotics.

Where is Impact Prosthetic Solutions, LLC located?

Impact Prosthetic Solutions, LLC is located at 3210 Prosperity Church Rd Ste 101, Charlotte, NC 28269. The listed phone number is (704) 510-2204.

What is Impact Prosthetic Solutions, LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

What insurance does Impact Prosthetic Solutions, LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Impact Prosthetic Solutions, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Impact Prosthetic Solutions, LLC was last updated on June 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.