AIM PEDIATRIC PHYSICAL THERAPY LLC (NPI# 1659886752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659886752 |
| Entity Type | Organization |
| Organization Name | AIM PEDIATRIC PHYSICAL THERAPY LLC |
| Practice Address |
4333 Pan American Fwy Ne Ste B Albuquerque NM 87107-6833 |
| Mailing Address |
701 Stephen Moody St Se Apt 527 Albuquerque NM 87123-4012 |
| Practice Telephone | 7013307417 |
| Mailing Telephone | 7013307417 |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | AMANDA K SODEMANN (OWNER) |
| Authorized Official Telephone | 7013307417 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
4513 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 27427277 | 05 | |
| NM | CAQH | 12775121 | 01 |
| Street Address |
4333 PAN AMERICAN FWY NE STE B |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87107-6833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518910983 | Dorsey M Beggs | Pediatrics | 4333 Pan American Fwy Ne Ste B, Albuquerque, NM 87107-6833 | 2006-05-18 |
| 1972111433 | Kimberly A. Hart | Nurse Practitioner | 4333 Pan American Fwy Ne Ste B, Albuquerque, NM 87107-6833 | 2020-07-21 |
| 1730705286 | Madison Frances Lutz | Nurse Practitioner | 4333 Pan American Fwy Ne Ste B, Albuquerque, NM 87107-6833 | 2020-06-21 |
| 1699215368 | Pediatric Speech Services of Albuquerque | Speech-Language Pathologist | 4333 Pan American Fwy Ne Ste B, Albuquerque, NM 87107-6833 | 2017-03-01 |
| 1700097458 | Hien Thai Tran | Pediatrics | 4333 Pan American Fwy Ne Ste B, Albuquerque, NM 87107-6833 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589785 | Benjamin Argant | Behavior Technician | 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 | 2020-08-20 |
| 1679138861 | Susan Luna, Lpcc LLC | Counselor | 3221 B Candelaria Ne, Albuquerque, NM 87107 | 2019-05-03 |
| 1407310881 | Eleanor Cloe Tibbetts | Speech-Language Pathologist | 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 | 2019-01-30 |
| 1386174829 | Triple D Medical Transportation, LLC. | Secured Medical Transport (VAN) | 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 | 2017-06-18 |
| 1487100715 | Kayleen Weinandt | Community/Behavioral Health | 3301 Los Arboles Ne, Albuquerque, NM 87107 | 2016-08-28 |
| 1811345549 | Inverse Medical, LLC | Non-emergency Medical Transport (VAN) | 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 | 2016-06-03 |
| 1710349220 | Evolv Strong, LLC | Specialist/Technologist | 3201 Candelaria Rd Ne, Albuquerque, NM 87107 | 2016-03-23 |
| 1982072443 | Erik Robinson | Social Worker | 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 | 2015-09-14 |
| 1033505763 | Sam Newmon Ma, Lpcc | Counselor | 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 | 2015-04-09 |
| 1760896203 | Jocelyn Fiaschetti | Social Worker | 7704 4th Street Nw, Albuquerque, NM 87107 | 2014-06-12 |
| Find all providers in zip 87107 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770106726 | Sandia Sunrise Therapy LLC | Physical Therapist | 915 Monroe St Se, Albuquerque, NM 87108-3510 | 2020-05-26 |
| 1952792632 | Katelyn Crow | Physical Therapist | 9318 Orlando Pl Ne, Albuquerque, NM 87111-3338 | 2015-02-16 |
| 1841312956 | Julie C De Baca Maner | Physical Therapist | Rci Inc, 1111 Menual Blvd Ne, Albuquerque, NM 87107 | 2007-04-06 |
| 1861541989 | Kathleen Meier Hedemann | Physical Therapist | 6917 Red Sky Rd Ne, Albuquerque, NM 87111-1053 | 2007-01-09 |
| 1013987130 | Jean H Hile | Physical Therapist | 5006 Copper Ne, Albuquerque, NM 87108 | 2006-01-23 |
| 1205444114 | Yleana Lucero | Physical Therapist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2020-07-16 |
| 1780109454 | Colleen Petranovich | Physical Therapist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2017-08-03 |
| 1265986871 | Shawna Winnegar | Physical Therapist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2016-08-11 |
| 1659747335 | Heather Armijo | Physical Therapist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2015-08-17 |
| 1124410519 | Sunel Van Der Walt | Physical Therapist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2015-02-23 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87107 |
Please comment or provide details below to improve the information on AIM PEDIATRIC PHYSICAL THERAPY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.