Healthcare Provider Details

I. General information

NPI: 1386557718
Provider Name (Legal Business Name): AMS IMPACT GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3002 S PRIEST DR
TEMPE AZ
85282-3400
US

IV. Provider business mailing address

3002 S PRIEST DR
TEMPE AZ
85282-3400
US

V. Phone/Fax

Practice location:
  • Phone: 602-320-7630
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: NATALIE TRAINOR
Title or Position: ESS DIRECTOR
Credential: M.ED.
Phone: 602-320-7630