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

Impact Sports & Spine LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1598506552

Impact Sports & Spine LLC is a Physical Medicine & Rehabilitation Physician in Rockville, Maryland. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
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

9420 Key West Ave Ste 325
Rockville, MD 20850-6529
Phone: (703) 789-3216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X
Sports Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081S0010X

Record details

NPI number1598506552
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Itskevich — Co-Founder/Physician · (301) 363-9693
NPI enumeratedJune 4, 2024
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024
Mailing address9420 Key West Ave Ste 325, Rockville, MD 20850-6529

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