IMPACT SPORTS & SPINE LLC
NPI 1598506552
Physical Medicine & Rehabilitation in Rockville, MD
About Impact Sports & Spine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMPACT SPORTS & SPINE LLC (NPI 1598506552) is a healthcare organization registered as a physical medicine & rehabilitation in Rockville, Maryland and active in the NPI registry since June 2024. The organization lists David Itskevich, Co-founder/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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 Sports & Spine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Impact Sports & Spine LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Sports & Spine LLC's NPI number?
The NPI number for Impact Sports & Spine LLC is 1598506552. It was assigned to this organization in the NPPES registry on June 4, 2024.
Where is Impact Sports & Spine LLC located?
Impact Sports & Spine LLC is located at 9420 Key West Ave Ste 325, Rockville, MD 20850. The listed phone number is (703) 789-3216.
What is Impact Sports & Spine LLC's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Impact Sports & Spine LLC enrolled in Medicare?
Yes. Impact Sports & Spine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Impact Sports & Spine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Impact Sports & Spine 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. 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 Sports & Spine LLC was last updated on August 2, 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.