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Impact Physical Therapy & Performance LLC

Impact Physical Therapy & Performance LLC is a healthcare organization registered as Physical Therapy Clinic/Center in Verona, WI, holding Type 2 (organization) NPI 1821649088 since 2019. The authorized official on file is Matthew Koester, Founding Owner.

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NPI 1821649088
Entity type Organization (Type 2)
Legal business name Impact Physical Therapy & Performance LLC
Practice address 1155 CLARITY DR, Verona, WI, 53593
Phone 6082934508
Enumeration date 2019-09-27
Last updated in NPPES 2019-09-27

Authorized official

Name Matthew Koester
Title Founding Owner
Phone 6082934508

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QP2000X Physical Therapy Clinic/Center Primary

Other identifiers

Identifier Type State Issuer
1245889229 Medicaid WI
Copy-ready billing details
Provider: Impact Physical Therapy & Performance LLC
NPI: 1821649088
Taxonomy: 261QP2000X (Physical Therapy Clinic/Center)
Address: 1155 CLARITY DR, Verona, WI, 53593

Verify this record

Cross-check NPI 1821649088 against the authoritative CMS record: view Impact Physical Therapy & Performance LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

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 Physical Therapy & Performance LLC?
Impact Physical Therapy & Performance LLC is registered in NPPES as a Physical Therapy Clinic/Center (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-09-27.