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

Pro Impact Physical Therapy and Sports Performance, LLC

Organization Physical Therapist · NPI 1780813618

Pro Impact Physical Therapy and Sports Performance, LLC is a Physical Therapist in Montgomery, Alabama. Licensed in Alabama. Registered with an NPI since 2009.

Licensed in
AL
In the registry since
2009
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

2000 Berry Chase Pl
Montgomery, AL 36117-6896
Phone: (334) 356-6453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTH1388 (AL)

Record details

NPI number1780813618
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Ellis — Physical Therapist · (334) 262-6161
NPI enumeratedJuly 13, 2009
Last updated in NPPESApril 4, 2022
Certification dateApril 4, 2022
Mailing addressPo Box 242903, Montgomery, AL 36124-2903

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