Impact Sports & Spine LLC
NPI 1598506552 · Physical Medicine & Rehabilitation Physician · Rockville, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Impact Sports & Spine LLC is a Physical Medicine & Rehabilitation Physician organization in Rockville, MD (NPI 1598506552).
Provider details
- NPI number
- 1598506552
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Itskevich, Co-Founder/Physician(301) 363-9693
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
Registry dates
- Enumerated
- 2024-06-04
- Last updated
- 2024-08-02
- Certified
- 2024-08-02
Frequently asked questions
- What is Impact Sports & Spine LLC's NPI number?
- Impact Sports & Spine LLC's National Provider Identifier (NPI) is 1598506552, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Sports & Spine LLC?
- Impact Sports & Spine LLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Impact Sports & Spine LLC located?
- Impact Sports & Spine LLC's practice location on file with NPPES is 9420 Key West Ave Ste 325, Rockville, MD 20850-6529.
- What is Impact Sports & Spine LLC's phone number?
- The practice phone number listed in the NPPES registry for Impact Sports & Spine LLC is (703) 789-3216.
- Does Impact Sports & Spine LLC accept Medicare?
- Impact Sports & Spine LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Impact Sports & Spine LLC?
- The authorized official listed on Impact Sports & Spine LLC's NPPES record is David Itskevich, Co-Founder/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Sports & Spine LLC's NPI active?
- Yes — Impact Sports & Spine LLC's NPI (1598506552) is active in the NPPES registry as of the last update on 2024-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.