IMPAC REHABILITATION INC NPI 1831187863

NPI Information

  • NPI: 1831187863
  • Provider Name: IMPAC REHABILITATION, INC
  • Classification: Clinic/Center - 261QR0401X
  • Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Entity Type: Organization
  • Address: 4937 HEARST STREET
    SUITE 2-F
    METAIRIE, LA
    ZIP 70001
  • Phone: (504) 779-0400

Map and Directions

Get Directions

NPI Details

IMPAC REHABILITATION, INC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Metairie, LA. IMPAC REHABILITATION, INC NPI is 1831187863. The provider is registered as an organization entity type.

The provider's business location address is:

4937 HEARST STREET
SUITE 2-F
METAIRIE, LA
ZIP 70001
Phone: (504) 779-0400

The provider's authorized official is Mary Ruth Mcvay .
The authorized official title is President and has the following contact phone number (507) 779-0400.

The enumeration date for this NPI number is 10/13/2005 and was last updated on 8/22/2020.

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
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Yes

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
11438413MEDICAIDLOUISIANA

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.