Provider Demographics
NPI:1245004555
Name:PIMM, REMINGTON (PT, DPT)
Entity type:Individual
Prefix:
First Name:REMINGTON
Middle Name:
Last Name:PIMM
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 SOUTHARD ST
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-6537
Mailing Address - Country:US
Mailing Address - Phone:727-777-2334
Mailing Address - Fax:
Practice Address - Street 1:3156 NORTHSIDE DR
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-8024
Practice Address - Country:US
Practice Address - Phone:305-292-1805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-08
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL408592251X0800X
NCP235782251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic