Impact Physical Therapy and Wellness LLC
NPI 1487151775ActiveOrganization· Physical Therapist· Sioux City, IA
Physical Therapist in Sioux City, Iowa, registered in NPPES in April 2018. The authorized official on file is Keith Alan Roed, PT, DPT, CMPT, Physical Therapist/Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1487151775 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 12, 2018 |
| Last updated in NPPES | Jun 21, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 004816 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (IA) |
|---|
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