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Impact Athletics Incorporated

Sports Medicine (Preventive Medicine) Physician in Indianapolis, IN · enumerated 2024 · authorized official Jack Ham, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568203610

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Registry record

Entity type Organization (Type 2)
Legal business name Impact Athletics Incorporated
Other name <Unavail>
Practice address 9525 N Meridian St, Indianapolis, IN, 46260
Phone (317) 669-2375
Enumeration date Jun 3, 2024
Last updated in NPPES Jul 13, 2024

Taxonomy & classification

133V00000X Registered Dietitian Dietary & Nutritional Service Providers Secondary
2083S0010X Sports Medicine (Preventive Medicine) Physician Allopathic & Osteopathic Physicians Primary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
2251X0800X Orthopedic Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jack Ham
Title President
Phone (669) 666-4936

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Impact Athletics Incorporated?
Impact Athletics Incorporated is registered in NPPES as a Sports Medicine (Preventive Medicine) Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-13.