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

Impact Physical Therapy, PLLC

Organization Physical Therapy Clinic/Center · NPI 1306688320

Impact Physical Therapy, PLLC is a Physical Therapy Clinic/Center in Bowling Green, Kentucky. Registered with an NPI since 2024.

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

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Practice location Address checks out

843 Fairview Ave Ste B5
Bowling Green, KY 42101-4975
Phone: (601) 502-3765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1306688320
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wesley Lawless — Owner · (601) 502-3765
Other names Impact Physical Therapy And Athletic Performance
NPI enumeratedJune 10, 2024
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024
Mailing address1135 Angelica St, Bowling Green, KY 42104-5594

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