IMPACT SPORTS & SPINE LLC
NPI 1598506552
Physical Medicine & Rehabilitation in Rockville, MD

Active since June 04, 2024
9420 KEY WEST AVE STE 325, ROCKVILLE, MD 20850(703) 789-3216 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 2, 2024, Jun 4, 2024 (2 updates tracked since 2024).

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

NPI1598506552
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameIMPACT SPORTS & SPINE LLC
Location Address9420 KEY WEST AVE STE 325Rockville, MD 20850-6529
Mailing Address9420 Key West Ave Ste 325Rockville, MD 20850-6529
Organization SubpartNo
Authorized OfficialDavid ItskevichCo-founder/physician · (301) 363-9693
Enumeration DateJune 4, 2024
Last NPPES UpdateAugust 2, 20242 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
✔ NPI 1598506552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
9420 KEY WEST AVE STE 325, Rockville, MD 20850

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 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)

Physical Medicine and Rehabilitation
NPI 1467863662
9420 KEY WEST AVE STE 325
Rockville, MD 20850
(301) 363-9693
✔ PECOS✔ Accepts MedicareSame address

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.