Provider Demographics
NPI:1326622077
Name:BAIME, ISAAC (DPT)
Entity Type:Individual
Prefix:
First Name:ISAAC
Middle Name:
Last Name:BAIME
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 E TWIGGS ST UNIT 1707
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-3185
Mailing Address - Country:US
Mailing Address - Phone:813-469-3079
Mailing Address - Fax:
Practice Address - Street 1:1115 E TWIGGS ST UNIT 1707
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-3185
Practice Address - Country:US
Practice Address - Phone:813-469-3079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT35633225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist