IMPACT PHYSICAL THERAPY, LLC
NPI 1508622614
Physical Therapist in Chicago, IL

Active since February 26, 2024
1103 S STATE ST STE 300, CHICAGO, IL 60605(312) 877-5101(312) 877-5906 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Impact Physical Therapy, Llc NPPES

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

IMPACT PHYSICAL THERAPY, LLC (NPI 1508622614) is a healthcare organization registered as a physical therapist in Chicago, Illinois and active in the NPI registry since February 2024. The organization lists Denise M Deasy, Hr Director, as its authorized official.

NPPES Registry Identity

NPI1508622614
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameIMPACT PHYSICAL THERAPY, LLC
Location Address1103 S STATE ST STE 300Chicago, IL 60605-2775
Mailing AddressPo Box 220Westmont, IL 60559-0220 · (708) 590-6663 · Fax (709) 469-4100
Fax(312) 877-5906
Organization SubpartNo
Authorized OfficialDenise M DeasyHr Director · (630) 399-1015
Enumeration DateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1508622614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1103 S STATE ST STE 300, Chicago, IL 60605

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 Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

45

Medicare enrollment records show 45 clinicians reassign Medicare billing to Impact Physical Therapy, LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 45
Physical Therapist in Private Practice
NPI 1063392298
1103 S STATE ST STE 300
Chicago, IL 60605
(312) 877-5101
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1316997919
1103 S STATE ST STE 300
Chicago, IL 60605
(312) 877-5101
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1194458067
1103 S STATE ST STE 300
Chicago, IL 60605
(312) 877-5101
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1124530118
1103 S STATE ST
Chicago, IL 60605
(312) 877-5101
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1356203442
1103 S STATE ST STE 300
Chicago, IL 60605
(312) 877-5101
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1356796387
1103 S STATE ST STE 300
Chicago, IL 60605
(312) 877-5101
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1861098774
1103 S STATE ST
Chicago, IL 60605
(312) 877-5101
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1174300503
1103 S STATE ST
Chicago, IL 60605
(312) 877-5101
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1265651087
1131 S STATE ST
Chicago, IL 60605
(630) 697-2882
✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1538238068
1131 S STATE ST
Chicago, IL 60605
(312) 577-5101
✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1669197489
3420 N LINCOLN AVE
Chicago, IL 60657
(773) 360-7287
✔ Accepts Medicare5.6 mi
Physical Therapist in Private Practice
NPI 1518696483
3420 N LINCOLN AVE
Chicago, IL 60657
(773) 360-7287
✔ Accepts Medicare5.6 mi
Physical Therapist in Private Practice
NPI 1396125910
3420 N LINCOLN AVE
Chicago, IL 60657
(773) 360-7287
✔ Accepts Medicare5.7 mi
Physical Therapist in Private Practice
NPI 1184093957
1746 W ADDISON ST UNIT 1
Chicago, IL 60613
(773) 770-2000
✔ Accepts Medicare5.9 mi
Physical Therapist in Private Practice
NPI 1053626770
4807 W 95TH ST
Oak Lawn, IL 60453
(708) 599-1983
✔ Accepts Medicare12 mi
Physical Therapist in Private Practice
NPI 1699010520
4746 N CUMBERLAND AVE
Chicago, IL 60656
(773) 417-8901
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1376223537
4746 N CUMBERLAND AVE
Chicago, IL 60656
(773) 417-8901
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1295023380
4746 N CUMBERLAND AVE
Chicago, IL 60656
(773) 417-8901
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1619860368
4746 N CUMBERLAND AVE
Chicago, IL 60656
(773) 417-8901
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1508092685
10401 S CICERO AVE
Oak Lawn, IL 60453
(708) 581-4810
✔ Accepts Medicare13 mi
See all 45 clinicians

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 1508622614. It was assigned to this organization in the NPPES registry on February 26, 2024.

Where is Impact Physical Therapy, LLC located?

Impact Physical Therapy, LLC is located at 1103 S State St Ste 300, Chicago, IL 60605. The listed phone number is (312) 877-5101.

What is Impact Physical Therapy, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

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), 45 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, 8 practice at this address and 14 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 February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.