Provider Demographics
NPI:1376225078
Name:IMPACT PT
Entity Type:Organization
Organization Name:IMPACT PT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ERIN EPPES PT, DPT
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:EPPES
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:512-940-4652
Mailing Address - Street 1:1804 HINCHLIFFE RD
Mailing Address - Street 2:
Mailing Address - City:MEXIA
Mailing Address - State:TX
Mailing Address - Zip Code:76667-4005
Mailing Address - Country:US
Mailing Address - Phone:512-940-4652
Mailing Address - Fax:254-237-5400
Practice Address - Street 1:1804 HINCHLIFFE RD
Practice Address - Street 2:
Practice Address - City:MEXIA
Practice Address - State:TX
Practice Address - Zip Code:76667-4005
Practice Address - Country:US
Practice Address - Phone:512-940-4652
Practice Address - Fax:254-237-5400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy