# IMPACT SPORTS PHYSICAL THERAPY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770007411
- **Authorized official:** ROBERT ESBRANDT PT,DPT, PES (OWNER, PHYSICAL THERAPIST)
- **Authorized official phone:** (410) 322-9777

## Contact information

- **Practice address:** 7468 CANDLEWOOD RD, HANOVER, MD 21076-3211
- **Practice address phone:** (410) 684-5642
- **Mailing address:** 8816 DOVE DR, PERRY HALL, MD 21128-9000
- **Mailing address phone:** (410) 322-9777
- **Mailing address fax:** (443) 632-0521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 25008 | MD | Yes |

## Other

- **Enumeration date:** 08/02/2017
- **Last updated:** 08/10/2022