OrganizationActive
Impact Physical Medicine and Aquatic Center
NPI 1457417131 · Physical Therapy Clinic/Center · Saint Paul, MN
Provider details
- NPI number
- 1457417131
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stanley Babel, Ceo(651) 999-1030
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1600 University Ave W
Suite 10
Saint Paul, MN 55104-3898
Phone: (651) 646-7246
Fax: (651) 641-0726
Approximate (ZIP-level) locationGet directions
Mailing address
1600 University Ave W
Saint Paul, MN 55104-3898
Other names (DBA / former)
- Doing business as
- Impact Physical Medicine
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2022-12-30
- Certified
- 2022-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.