Pro Impact Physical Therapy and Sports Performance, LLC
NPI 1780813618 · Physical Therapist · Montgomery, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pro Impact Physical Therapy and Sports Performance, LLC is a Physical Therapist organization in Montgomery, AL (NPI 1780813618).
Provider details
- NPI number
- 1780813618
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Charles Ellis, Physical Therapist(334) 262-6161
- License
- PTH1388 (AL)
Specialties & taxonomies
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
16 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
- 2009-07-13
- Last updated
- 2022-04-04
- Certified
- 2022-04-04
Frequently asked questions
- What is Pro Impact Physical Therapy and Sports Performance, LLC's NPI number?
- Pro Impact Physical Therapy and Sports Performance, LLC's National Provider Identifier (NPI) is 1780813618, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pro Impact Physical Therapy and Sports Performance, LLC?
- Pro Impact Physical Therapy and Sports Performance, LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Pro Impact Physical Therapy and Sports Performance, LLC located?
- Pro Impact Physical Therapy and Sports Performance, LLC's practice location on file with NPPES is 2000 Berry Chase Pl, Montgomery, AL 36117-6896.
- What is Pro Impact Physical Therapy and Sports Performance, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pro Impact Physical Therapy and Sports Performance, LLC is (334) 356-6453.
- Does Pro Impact Physical Therapy and Sports Performance, LLC accept Medicare?
- Pro Impact Physical Therapy and Sports Performance, 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 Pro Impact Physical Therapy and Sports Performance, LLC?
- The authorized official listed on Pro Impact Physical Therapy and Sports Performance, LLC's NPPES record is Charles Ellis, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pro Impact Physical Therapy and Sports Performance, LLC's NPI active?
- Yes — Pro Impact Physical Therapy and Sports Performance, LLC's NPI (1780813618) is active in the NPPES registry as of the last update on 2022-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.