Impactmedical, LLC
NPI 1790387694 · Multi-Specialty Clinic/Center · Phoenix, AZ
Impactmedical, LLC is a Multi-Specialty Clinic/Center organization in Phoenix, AZ (NPI 1790387694).
Provider details
- NPI number
- 1790387694
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Coen, Director(602) 762-1128
Specialties & taxonomies
Ambulatory Health Care Facilities
- Rehabilitation Clinic/Center261QR0400X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- 2020-11-15
- Last updated
- 2020-11-15
- Certified
- 2020-11-15
Frequently asked questions
- What is Impactmedical, LLC's NPI number?
- Impactmedical, LLC's National Provider Identifier (NPI) is 1790387694, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impactmedical, LLC?
- Impactmedical, LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Impactmedical, LLC located?
- Impactmedical, LLC's practice location on file with NPPES is 701 W Glendale Ave, Phoenix, AZ 85021-8629.
- What is Impactmedical, LLC's phone number?
- The practice phone number listed in the NPPES registry for Impactmedical, LLC is (602) 762-1128.
- Who is the authorized official for Impactmedical, LLC?
- The authorized official listed on Impactmedical, LLC's NPPES record is Matthew Coen, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impactmedical, LLC's NPI active?
- Yes — Impactmedical, LLC's NPI (1790387694) is active in the NPPES registry as of the last update on 2020-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.