IMPACT PHYSICAL THERAPY
NPI 1699159723
Clinic/Center - Physical Therapy in Evanston, WY
About Impact Physical Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMPACT PHYSICAL THERAPY (NPI 1699159723) is a healthcare organization registered as a physical therapy in Evanston, Wyoming and active in the NPI registry since July 2015. The organization lists Justin Dennis, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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 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 Physical Therapy, 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 Physical Therapy LLC's NPI number?
The NPI number for Impact Physical Therapy LLC is 1699159723. It was assigned to this organization in the NPPES registry on July 18, 2015. The provider is doing business as Impact Physical Therapy.
Where is Impact Physical Therapy LLC located?
Impact Physical Therapy LLC is located at 96 Yellow Creek Road, Evanston, WY 82930. The listed phone number is (307) 444-4466.
What is Impact Physical Therapy LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
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), 1 clinician (Physical Therapist in Private Practice) reassigns 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Impact Physical Therapy LLC accept?
Health plans from Blue Cross Blue Shield of Wyoming list Impact Physical Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Impact Physical Therapy LLC was last updated on February 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Impact Physical Therapy · NPI 1699159723
Physical Therapy organization in Evanston, Wyoming. Organization record, active in the CMS NPPES registry since July 18, 2015.
## Identity
- **NPI:** 1699159723 (Entity type: Organization)
- **Enumerated:** July 18, 2015
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Legal business name:** Impact Physical Therapy Llc
- **Organization subpart:** No
- **Authorized official:** Justin Dennis, OWNER
## Practice location
- **Address:** 96 YELLOW CREEK ROAD, Evanston, WY 82930
- **Phone:** (307) 444-4466 · **Fax:** (307) 444-4468
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 13, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1699159723) · Data from the CMS NPPES public registry.