Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Impact Physical Medicine

Organization Clinic/Center · NPI 1689021586

Impact Physical Medicine is a Clinic/Center in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016

Practice location Address checks out

1600 University Ave W Ste 10
Saint Paul, MN 55104-3898
Phone: (651) 646-7246
Fax: (651) 641-0726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 105096 (MN)

Record details

NPI number1689021586
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Mueller — Occupational Therapist · (612) 250-2995
NPI enumeratedMay 20, 2016
Last updated in NPPESMay 20, 2016
Mailing address1600 University Ave W Ste 10, Saint Paul, MN 55104-3898

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