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.
Organization
PRO IMPACT PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC
Active
Organization
PRO IMPACT PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES MICHAEL ELLIS P.T., ATC (PHYSICAL THERAPIST)
(334) 262-6161
Entity
Organization
Contact information
Practice address
2000 BERRY CHASE PL, MONTGOMERY, AL 36117-6896
(334) 356-6453
Mailing address
PO BOX 242903, MONTGOMERY, AL 36124-2903
(334) 356-6453
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH1388
AL
Other
Enumeration date
07/13/2009
Last updated
04/04/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers