IMPACT PHYTHERAPY AND PERFORMANCE FNA KO GOLF PERFORMANCE & PT PC
NPI 1346706025
Physical Therapist - Orthopedic in Laguna Niguel, CA

Q: What is Impact Phytherapy And Performance Fna Ko Golf Performance & Pt PC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Active since February 18, 2019

27601 FORBES RD STE 38, LAGUNA NIGUEL, CA 92677(949) 378-9985 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 29, 2026, Jun 12, 2020, Feb 18, 2019 (3 updates tracked since 2019).

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About Impact Phytherapy And Performance Fna Ko Golf Performance & Pt Pc NPPES

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

IMPACT PHYTHERAPY AND PERFORMANCE FNA KO GOLF PERFORMANCE & PT PC (NPI 1346706025), doing business as Ko Golf Performance And Physical Therapy, P.c., is a healthcare organization registered as an orthopedic in Laguna Niguel, California and active in the NPI registry since February 2019. The organization lists Kevin John O'connor, Owner, as its authorized official.

NPPES Registry Identity

NPI1346706025

Entity TypeOrganization

Primary Taxonomy2251X0800X

Legal Business NameIMPACT PHYTHERAPY AND PERFORMANCE FNA KO GOLF PERFORMANCE & PT PC

Location Address27601 FORBES RD STE 38Laguna Niguel, CA 92677-1241

Mailing Address27601 Forbes Rd Ste 38Laguna Niguel, CA 92677-1241

Phone(949) 378-9985

Organization SubpartNo

Authorized OfficialKevin John O'connorOwner · (949) 378-9985

Enumeration DateFebruary 18, 2019

Last NPPES UpdateApril 29, 20263 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1346706025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

27601 FORBES RD STE 38, Laguna Niguel, CA 92677

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Other Names 1

Former Legal Business NameKo Golf Performance And Physical Therapy, P.c.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Phytherapy And Performance Fna Ko Golf Performance & Pt Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Impact Phytherapy And Performance Fna Ko Golf Performance & Pt PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Matthew Kirsten, DPT

Physical Therapist in Private Practice

NPI 1255720686

26302 LA PAZ RD SUITE 105
Mission Viejo, CA 92691

(949) 206-1700

✔ Accepts Medicare2.6 mi

Kevin O Connor, P.T.

Physical Therapist in Private Practice

NPI 1982070587

30085 COMERCIO
Rancho Santa Margarita, CA 92688

(949) 766-8535

6.4 mi

Ryan Stuhr, DPT

Physical Therapist in Private Practice

NPI 1699386573

1600 DOVE ST STE 100
Newport Beach, CA 92660

(949) 502-3388

✔ Accepts Medicare13 mi

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 Phytherapy And Performance Fna Ko Golf Performance & Pt PC's NPI number?

The NPI number for Impact Phytherapy And Performance Fna Ko Golf Performance & Pt PC is 1346706025. It was assigned to this organization in the NPPES registry on February 18, 2019. The provider was formerly known as KO Golf Performance and Physical Therapy, P.C..

Where is Impact Phytherapy And Performance Fna Ko Golf Performance & Pt PC located?

Impact Phytherapy And Performance Fna Ko Golf Performance & Pt PC is located at 27601 Forbes Rd Ste 38, Laguna Niguel, CA 92677. The listed phone number is (949) 378-9985.

What is Impact Phytherapy And Performance Fna Ko Golf Performance & Pt PC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Impact Phytherapy And Performance Fna Ko Golf Performance & Pt PC enrolled in Medicare?

Yes. Impact Phytherapy And Performance Fna Ko Golf Performance & Pt PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Impact Phytherapy And Performance Fna Ko Golf Performance & Pt PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Impact Phytherapy And Performance Fna Ko Golf Performance & Pt PC. 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, 2 practice 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 Phytherapy And Performance Fna Ko Golf Performance & Pt PC was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.