Healthcare Provider Details

I. General information

NPI: 1730018417
Provider Name (Legal Business Name): BIM REHAB AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 W 75TH ST LOWR 10
PRAIRIE VILLAGE KS
66208-3522
US

IV. Provider business mailing address

1900 W 75TH ST LOWR 10
PRAIRIE VILLAGE KS
66208-3522
US

V. Phone/Fax

Practice location:
  • Phone: 403-464-4329
  • 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: DHARABEN PATEL
Title or Position: DIRECTOR
Credential: DPT
Phone: 224-200-4611