Basic Information
| Provider Information | |||||||||
| NPI: | 1801402821 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AIM THERAPY, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 217 WILDFLOWER CT | ||||||||
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| City: | HOT SPRINGS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 719099777 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5012820630 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1210 ALDERSGATE RD | ||||||||
| Address2: | |||||||||
| City: | LITTLE ROCK | ||||||||
| State: | AR | ||||||||
| PostalCode: | 722056606 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5015743053 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/16/2020 | ||||||||
| LastUpdateDate: | 09/16/2020 | ||||||||
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| AuthorizedOfficialLastName: | THOMAS | ||||||||
| AuthorizedOfficialFirstName: | ALEXANDRA | ||||||||
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| AuthorizedOfficialTitleorPosition: | HEAD OF STRATEGY | ||||||||
| AuthorizedOfficialTelephone: | 3144796238 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | AUTISM IN MOTION CLINICS, INC. | ||||||||
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| NPICertificationDate: | 09/16/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 224Z00000X | N | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | 225100000X | N | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 2251P0200X | N | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | 225X00000X | N | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | 225XP0200X | N | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | 2355S0801X | N | 193200000X MULTI-SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant | 235Z00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.