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

Impact Physical Therapy, LLC

Organization Physical Therapist · NPI 1508622614

Impact Physical Therapy, LLC is a Physical Therapist in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1103 S State St Ste 300
Chicago, IL 60605-2775
Phone: (312) 877-5101
Fax: (312) 877-5906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1508622614
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise Deasy — Hr Director · (630) 399-1015
NPI enumeratedFebruary 26, 2024
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024
Mailing addressPo Box 220, Westmont, IL 60559-0220

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