IMPACT PHYSICAL THERAPY & PERFORMANCE LLC
NPI 1821649088
Clinic/Center - Physical Therapy in Verona, WI

Active since September 27, 2019
1155 CLARITY DR, VERONA, WI 53593(608) 293-4508 Get Directions Write a Review

NPPES record last updated: September 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Impact Physical Therapy & Performance Llc NPPES

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

IMPACT PHYSICAL THERAPY & PERFORMANCE LLC (NPI 1821649088), doing business as Lifelong Range Of Motion Llc, is a healthcare organization registered as a physical therapy in Verona, Wisconsin and active in the NPI registry since September 2019. The organization lists Matthew Koester, Founding Owner, as its authorized official.

NPPES Registry Identity

NPI1821649088
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameIMPACT PHYSICAL THERAPY & PERFORMANCE LLC
Location Address1155 CLARITY DRVerona, WI 53593-9318
Mailing AddressW4850 Pembridge TrlMonroe, WI 53566-8745 · (608) 293-4508
Organization SubpartNo
Authorized OfficialMatthew KoesterFounding Owner · (608) 293-4508
Enumeration DateSeptember 27, 2019
NPI 1821649088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
1155 CLARITY DR, Verona, WI 53593

Other Names 1

Former Legal Business NameLifelong Range Of Motion Llc

Other Identifiers 1

Medicaid1245889229WI

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 & Performance LLC's NPI number?

The NPI number for Impact Physical Therapy & Performance LLC is 1821649088. It was assigned to this organization in the NPPES registry on September 27, 2019. The provider was formerly known as Lifelong Range Of Motion LLC.

Where is Impact Physical Therapy & Performance LLC located?

Impact Physical Therapy & Performance LLC is located at 1155 Clarity Dr, Verona, WI 53593. The listed phone number is (608) 293-4508.

What is Impact Physical Therapy & Performance LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Impact Physical Therapy & Performance LLC was last updated on September 27, 2019. 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.