Organization
IMPACT PHYSICAL THERAPY LLC
Active
Organization
IMPACT PHYSICAL THERAPY LLC
Active
Other names
Impact Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN DENNIS DPT (OWNER)
(801) 209-4466
Entity
Organization
Contact information
Practice address
96 YELLOW CREEK ROAD, EVANSTON, WY 82930
(307) 444-4466
(307) 444-4468
Mailing address
96 YELLOW CREEK ROAD, EVANSTON, WY 82930
(307) 444-4466
(307) 444-4468
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
PT 1683
WY
261QP2000X
Physical Therapy Clinic/Center
Primary
PT1568
WY
Other
Enumeration date
07/18/2015
Last updated
02/13/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up