Impact Athletics Incorporated
NPI 1568203610 · Sports Medicine (Preventive Medicine) Physician · Indianapolis, IN
Impact Athletics Incorporated is a Sports Medicine (Preventive Medicine) Physician organization in Indianapolis, IN (NPI 1568203610).
Provider details
- NPI number
- 1568203610
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jack Ham, President(669) 666-4936
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Orthopedic Physical Therapist2251X0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Other names (DBA / former)
- Doing business as
- Impact Athletics
- Doing business as
- Impact Athletics
Registry dates
- Enumerated
- 2024-06-03
- Last updated
- 2024-07-13
- Certified
- 2024-07-13
Frequently asked questions
- What is Impact Athletics Incorporated's NPI number?
- Impact Athletics Incorporated's National Provider Identifier (NPI) is 1568203610, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Athletics Incorporated?
- Impact Athletics Incorporated is classified in the NPPES registry as Sports Medicine (Preventive Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Impact Athletics Incorporated located?
- Impact Athletics Incorporated's practice location on file with NPPES is 9525 N Meridian St, Indianapolis, IN 46260-1310.
- What is Impact Athletics Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Impact Athletics Incorporated is (317) 669-2375.
- Who is the authorized official for Impact Athletics Incorporated?
- The authorized official listed on Impact Athletics Incorporated's NPPES record is Jack Ham, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Athletics Incorporated's NPI active?
- Yes — Impact Athletics Incorporated's NPI (1568203610) is active in the NPPES registry as of the last update on 2024-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.