IMPACT PHYSICAL THERAPY AND PERFORMANCE P.C. NPI 1346706025

NPI Information

  • NPI: 1346706025
  • Provider Name: IMPACT PHYSICAL THERAPY AND PERFORMANCE, P.C.
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Organization
  • Former Legal Business Name: KO GOLF PERFORMANCE AND PHYSICAL THERAPY, P.C.
  • Address: 34 SERENITY LN
    LAGUNA NIGUEL, CA
    ZIP 92677
  • Phone: (949) 378-9985

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NPI Details

IMPACT PHYSICAL THERAPY AND PERFORMANCE, P.C. is an orthopedic physical therapist in Laguna Niguel, CA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. IMPACT PHYSICAL THERAPY AND PERFORMANCE, P.C. NPI is 1346706025. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Ko Golf Performance And Physical Therapy, P.c..

The provider's business location address is:

34 SERENITY LN
LAGUNA NIGUEL, CA
ZIP 92677-905
Phone: (949) 378-9985

The provider's authorized official is Kevin John O'connor .
The authorized official title is Owner - Physical Therapist and has the following contact phone number (949) 378-9985.

The enumeration date for this NPI number is 2/18/2019 and was last updated on 6/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251X0800XPhysical TherapistOrthopedicYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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