IMPACT REHABILITATION CENTER INC NPI 1801817739

NPI Information

  • NPI: 1801817739
  • Provider Name: IMPACT REHABILITATION CENTER INC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 255 N TUSTIN ST
    ORANGE, CA
    ZIP 92867
  • Phone: (714) 288-9125

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NPI Details

IMPACT REHABILITATION CENTER INC is a specialist in Orange, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. IMPACT REHABILITATION CENTER INC NPI is 1801817739. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

255 N TUSTIN ST
ORANGE, CA
ZIP 92867-772
Phone: (714) 288-9125
Fax: (714) 288-9129

The provider's authorized official is Willis Mark Sutcliff .
The authorized official title is President and has the following contact phone number (714) 288-9125.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 3/30/2020.

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
1174400000XSpecialistPT26858CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GPT001400MEDICAIDCALIFORNIA

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

NPI Synchronization or Removal

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