IMPACT THERAPY, LLC
NPI 1447340732
Specialist in Tallahassee, FL

Q: What is Impact Therapy, LLC's NPI number?

The NPI number for Impact Therapy, LLC is 1447340732. It was assigned to this organization in the NPPES registry on October 15, 2006.

Q: What is Impact Therapy, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 15, 2006

1725 HERMITAGE BLVD, TALLAHASSEE, FL 32308(850) 325-6301(850) 325-6302 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2024, Dec 18, 2020, Nov 19, 2020 (3 updates tracked since 2020).

On this page

About Impact Therapy, Llc NPPES

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

IMPACT THERAPY, LLC (NPI 1447340732) is a healthcare organization registered as a specialist in Tallahassee, Florida and active in the NPI registry since October 2006. The organization lists Kelly Quin Prejean, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1447340732

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameIMPACT THERAPY, LLC

Location Address1725 HERMITAGE BLVDTallahassee, FL 32308-7709

Mailing Address1717 Hermitage BlvdTallahassee, FL 32308-7709 · (850) 325-6301 · Fax (850) 325-6302

Phone(850) 325-6301

Fax(850) 325-6302

Organization SubpartNo

Authorized OfficialKelly Quin PrejeanClinic Director · (850) 325-6301

Enumeration DateOctober 15, 2006

Last NPPES UpdateJune 26, 20243 updates tracked since enumeration

NPPES CertifiedJune 26, 2024

✔ NPI 1447340732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · OT10243

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1725 HERMITAGE BLVD, Tallahassee, FL 32308

Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Other Providers at the Same Location NPPES 20

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

CRISTIN ANNE ELLER COTA

Occupational Therapy Assistant