Organization
A.I.M. PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ANDREW EGBERT PT (PRESIDENT)
(253) 216-3600
Entity
Organization
Contact information
Practice address
415 ALDER AVE, SUMNER, WA 98390-1321
(253) 216-3600
(253) 862-2675
Mailing address
415 ALDER AVE, SUMNER, WA 98390-1321
(253) 216-3600
(253) 862-2675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00005418
WA
261QP2000X
Physical Therapy Clinic/Center
Primary
PT5418
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101837600
US DEPT OF LABOR PROVIDER
WA
01
—
1093897613
NPI INDIVIDUAL
WA
01
—
1174640759
GROUP NPI AIM
WA
01
—
171896
STATE WORKERS COMP.
WA
05
—
7126303
—
WA
01
—
EG4516
BLUE SHIELD PROVIDER NO.
WA
01
—
GAB38573
PTAN MEDICARE GROUP
ND
01
—
GAB38573
PTAN MEDICARE GROUP
—
01
—
GAB38574
MEDICARE PTAN INDIVIDUAL
—
01
—
P00061737
MEDICARE RAILROAD
—
Enumeration date
03/26/2007
Last updated
01/02/2015
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