Healthcare Provider Details

I. General information

NPI: 1215594981
Provider Name (Legal Business Name): AIM PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2019
Last Update Date: 01/28/2020
Certification Date: 01/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 E WALNUT ST STE 101
PASADENA CA
91106-1479
US

IV. Provider business mailing address

550 MOUNTAIN CREST RD
DUARTE CA
91010-1513
US

V. Phone/Fax

Practice location:
  • Phone: 626-400-9524
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JUSTIN CHUCK
Title or Position: CEO, OWNER, PHYSICAL THERAPIST
Credential: DPT
Phone: 626-400-9524