Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pro Impact Physical Therapy and Sports Performance, LLC

Organization Physical Therapist · NPI 1780813618

Pro Impact Physical Therapy and Sports Performance, LLC provides Physical Therapist services in Montgomery, Alabama. Licensed in Alabama. Registered with an NPI since 2009.

Licensed in
AL
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2000 Berry Chase Pl
Montgomery, AL 36117-6896
Phone: (334) 356-6453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTH1388 (AL)

Record details

NPI number1780813618
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Ellis — Physical Therapist · (334) 262-6161
NPI enumeratedJuly 13, 2009
Last updated in NPPESApril 4, 2022
Certification dateApril 4, 2022
Mailing addressPo Box 242903, Montgomery, AL 36124-2903

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