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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: October 25, 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
Phone(714) 288-9125
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
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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

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 Rehabilitation Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Impact Rehabilitation Center Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Diana Sutcliff, DPT
Physical Therapist in Private Practice
NPI 1578587457
255 N TUSTIN ST
Orange, CA 92867
(714) 288-9125
✔ Accepts MedicareSame address
Willis Sutcliff, MPT, ATC
Physical Therapist in Private Practice
NPI 1073534905
255 N TUSTIN ST
Orange, CA 92867
(714) 288-9125
✔ Accepts MedicareSame address
Joshua Watson, PT, DPT
Physical Therapist in Private Practice
NPI 1114557147
30230 RANCHO VIEJO RD STE 120
San Juan Capistrano, CA 92675
(949) 461-1250
✔ Accepts Medicare21 mi

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 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.

Is Impact Rehabilitation Center Inc enrolled in Medicare?

Yes. Impact Rehabilitation Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Impact Rehabilitation Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Impact Rehabilitation Center Inc. 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. Of these, 2 practice at this address. 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 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.