IMPACT THERAPY, LLC
NPI 1649840687
Specialist in Tallahassee, FL

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

The NPI number for Impact Therapy, LLC is 1649840687. It was assigned to this organization in the NPPES registry on July 1, 2021.

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

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

Active since July 01, 2021

1717 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 02, 2026.

Record update history: Jun 26, 2024, Jul 2, 2021 (2 updates tracked since 2021).

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About Impact Therapy, Llc NPPES

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

IMPACT THERAPY, LLC (NPI 1649840687) is a healthcare organization registered as a specialist in Tallahassee, Florida and active in the NPI registry since July 2021. The organization lists Kelly Quin Prejean, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1649840687

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameIMPACT THERAPY, LLC

Location Address1717 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 DateJuly 1, 2021

Last NPPES UpdateJune 26, 20242 updates tracked since enumeration

NPPES CertifiedJune 26, 2024

✔ NPI 1649840687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

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.

1717 HERMITAGE BLVD, Tallahassee, FL 32308

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Other Identifiers 1

Medicaid891453200FL

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

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 10

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

JANIAH MURRAY

Behavior Technician