IMPACT REHABILITATION CENTER INC
NPI 1801817739
Specialist in Orange, CA

Active since July 23, 2006
255 N TUSTIN ST, ORANGE, CA 92867(714) 288-9125(714) 288-9129 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2020, Aug 8, 2018 (2 updates tracked since 2018).

About Impact Rehabilitation Center Inc NPPES

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

IMPACT REHABILITATION CENTER INC (NPI 1801817739) is a healthcare organization registered as a specialist in Orange, California and active in the NPI registry since July 2006. The organization lists Willis Mark Sutcliff, President, as its authorized official.

NPPES Registry Identity

NPI1801817739
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameIMPACT REHABILITATION CENTER INC
Location Address255 N TUSTIN STOrange, CA 92867-7772
Mailing AddressPo Box 5986Orange, CA 92863-5986 · (714) 288-9125 · Fax (714) 288-9129
Fax(714) 288-9129
Organization SubpartNo
Authorized OfficialWillis Mark SutcliffPresident · (714) 288-9125
Enumeration DateJuly 23, 2006
Last NPPES UpdateMarch 30, 20202 updates tracked since enumeration
NPPES CertifiedMarch 30, 2020
NPI 1801817739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · PT26858
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.
255 N TUSTIN ST, Orange, CA 92867

Other Identifiers 1

MedicaidGPT001400CA

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

Other Providers at the Same Location NPPES 3

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

Physical Therapist
255 N TUSTIN ST
ORANGE, CA 92867
Physical Therapist
255 N TUSTIN ST
ORANGE, CA 92867
Physical Therapist
255 N TUSTIN ST
ORANGE, CA 92867

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 Rehabilitation Center Inc's NPI number?

The NPI number for Impact Rehabilitation Center Inc is 1801817739. It was assigned to this organization in the NPPES registry on July 23, 2006.

Where is Impact Rehabilitation Center Inc located?

Impact Rehabilitation Center Inc is located at 255 N Tustin St, Orange, CA 92867. The listed phone number is (714) 288-9125.

What is Impact Rehabilitation Center Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Impact Rehabilitation Center Inc was last updated on March 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.