OrganizationActive
Impact Physical Therapy, LLC
NPI 1083655260 · Physical Therapist · Grants Pass, OR
Provider details
- NPI number
- 1083655260
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Carie Campos, Office Manager(541) 476-1919
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
625 Ramsey Ave
Suite B
Grants Pass, OR 97527-5808
Phone: (541) 476-1919
Fax: (541) 476-1920
Approximate (ZIP-level) locationGet directions
Mailing address
625 Ramsey Ave
Grants Pass, OR 97527-5808
Registry dates
- Enumerated
- 2006-06-09
- Last updated
- 2008-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.