Impact Rehabilitation Center Inc
NPI 1801817739ActiveOrganization· Specialist· Orange, CA
Specialist in Orange, California, registered in NPPES in July 2006. The authorized official on file is Willis Mark Sutcliff, MPT, ATC, President. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1801817739 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 23, 2006 |
| Last updated in NPPES | Mar 30, 2020 |
| Certified by provider | Mar 30, 2020 |
| Reactivated | Aug 8, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | PT26858 | CA |
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 (CA) |
|---|
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