Provider Demographics
NPI:1972038743
Name:AIM PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:AIM PHYSICAL THERAPY, LLC
Other - Org Name:ADVANCED INDEPENDENCE AND MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:E
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:813-601-2110
Mailing Address - Street 1:10502 N DALE MABRY HWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-4136
Mailing Address - Country:US
Mailing Address - Phone:813-601-2110
Mailing Address - Fax:
Practice Address - Street 1:10502 N DALE MABRY HWY
Practice Address - Street 2:SUITE 103
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-4136
Practice Address - Country:US
Practice Address - Phone:813-601-2110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Single Specialty