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Impact Physical Therapy & Performance LLC

Physical Therapy Clinic/Center in Verona, WI · enumerated 2019 · authorized official Matthew Koester, Founding Owner.

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

National Provider Identifier

1821649088

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Registry record

Entity type Organization (Type 2)
Legal business name Impact Physical Therapy & Performance LLC
Practice address 1155 Clarity Dr, Verona, WI, 53593
Enumeration date Sep 27, 2019
Last updated in NPPES Sep 27, 2019

Taxonomy & classification

261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Matthew Koester
Title Founding Owner

Other identifiers

Identifier Type State Issuer
1245889229 Medicaid WI -

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 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 2026-07-13. Provider record last updated 2019-09-27.