OrganizationActive
Impact Therapy, LLC
NPI 1649840687 · Specialist · Tallahassee, FL
Impact Therapy, LLC is a Specialist organization in Tallahassee, FL (NPI 1649840687).
Provider details
- NPI number
- 1649840687
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Kelly Prejean, Clinic Director(850) 325-6301
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1717 Hermitage Blvd
Tallahassee, FL 32308-7709
Phone: (850) 325-6301
Fax: (850) 325-6302
Street-level locationGet directions
Mailing address
1717 Hermitage Blvd
Tallahassee, FL 32308-7709
Registry dates
- Enumerated
- 2021-07-01
- Last updated
- 2024-06-26
- Certified
- 2024-06-26
Frequently asked questions
- What is Impact Therapy, LLC's NPI number?
- Impact Therapy, LLC's National Provider Identifier (NPI) is 1649840687, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Therapy, LLC?
- Impact Therapy, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Impact Therapy, LLC located?
- Impact Therapy, LLC's practice location on file with NPPES is 1717 Hermitage Blvd, Tallahassee, FL 32308-7709.
- What is Impact Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Impact Therapy, LLC is (850) 325-6301.
- Who is the authorized official for Impact Therapy, LLC?
- The authorized official listed on Impact Therapy, LLC's NPPES record is Kelly Prejean, Clinic Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Therapy, LLC's NPI active?
- Yes — Impact Therapy, LLC's NPI (1649840687) is active in the NPPES registry as of the last update on 2024-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.