| Impact Physical Therapy, Llc | |
|
1430 W Baddour Pkwy, Suite C, Lebanon, TN 37087-2514 | |
| (615) 453-1422 | |
| (615) 453-1429 |
| Full Name | Impact Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1430 W Baddour Pkwy, Lebanon, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174709430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Sandra Denise Steele |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023220449 PECOS PAC ID: 6608807474 Enrollment ID: I20050822001364 |
| Provider Name | John R Boucher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457371718 PECOS PAC ID: 3678570728 Enrollment ID: I20061102000152 |
| Provider Name | Chandelle Lanier-hackett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255354205 PECOS PAC ID: 0345380820 Enrollment ID: I20091214000425 |
| Provider Name | Angela L Barham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538471164 PECOS PAC ID: 8628200755 Enrollment ID: I20170919002671 |
| Provider Name | Van Huffine |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043234982 PECOS PAC ID: 2062306640 Enrollment ID: I20240403001639 |
| Provider Name | Carmen Yvonne Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417129909 PECOS PAC ID: 4082052907 Enrollment ID: I20240410002643 |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Physical Therapy, Llc 1430 W Baddour Pkwy Ste C, Lebanon, TN 37087-2656 Ph: (615) 453-1422 | Impact Physical Therapy, Llc 1430 W Baddour Pkwy, Suite C, Lebanon, TN 37087-2514 Ph: (615) 453-1422 |
Courtney A Steele, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 W Baddour Pkwy, Ste 120, Lebanon, TN 37087 Phone: 615-443-9036 Fax: 615-443-9037 | |
Jonathon Casey Mcgee, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 521 W Main St, Lebanon, TN 37087 Phone: 615-444-9400 Fax: 615-444-9406 | |
Mrs. Sandra Denise Steele, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1430 W Baddour Pkwy Ste C, Lebanon, TN 37087 Phone: 615-453-1422 | |
Amanda Kelley Lankford, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1420 W Baddour Pkwy Ste 120, Lebanon, TN 37087 Phone: 615-443-9036 Fax: 615-443-9037 | |
Dr. Mario Novo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1035 S Hartmann Dr, Lebanon, TN 37090 Phone: 615-321-0200 Fax: 615-443-5488 | |
Caleb Wharton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 920 S Hartmann Dr Ste 330, Lebanon, TN 37090 Phone: 615-547-6488 | |
Rebecca Pettross, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 W Baddour Pkwy Ste 120, Lebanon, TN 37087 Phone: 615-443-9036 |