Organization · Type 2 NPI

Impact Prosthetic Solutions, LLC

Prosthetic/Orthotic Supplier · Charlotte, NC

NPI number 1255519799 Active

Practice location

3210 Prosperity Church Rd Ste 101
Charlotte, NC 28269-8194

Call (704) 510-2204 Map

Fax (704) 510-2218

Other practice locations

2614 East 7th Street, Suite B, Charlotte, NC 28204-4375 · (704) 510-2204

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	None listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

6 other providers at this address

Other prosthetic/orthotic supplier providers in Charlotte

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NPI record

NPI: 1255519799
Entity type: Organization (Type 2)
Issued: Feb 6, 2008
Last updated: Jun 11, 2019
Status: Active

Other names

<unavail>
Impact Orthopedics · doing business as
Impact Orthopedics · doing business as
Impact Prosthetics & Orthotics · doing business as

Authorized official

Rico Darryl Phronebarger
Co-Owner/manager
(704) 510-2204

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About NPI 1255519799

Impact Prosthetic Solutions, LLC's National Provider Identifier is 1255519799, issued on Feb 6, 2008. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Charlotte, NC. The record was last updated on Jun 11, 2019.