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

Impact Therapy, LLC

Organization Occupational Therapist · NPI 1619610680

Impact Therapy, LLC is an Occupational Therapist in Grand Rapids, Michigan. Registered with an NPI since 2022.

In the registry since
2022
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

1108 Cadillac Dr SE
Grand Rapids, MI 49506-6514
Phone: (616) 558-4478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1619610680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Brennan — Occupational Therapist · (616) 558-4478
NPI enumeratedApril 18, 2022
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022
Mailing address1108 Cadillac Dr Se, Grand Rapids, MI 49506-6514

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