NPIMap

Organization Active NPI

Aim Sports Medicine and Physical Therapy Inc

  • Physical Therapist
  • Hermosa Beach, CA
National Provider Identifier
1740304708
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AIM SPORTS MEDICINE AND PHYSICAL THERAPY INC
Practice address
1035 Aviation Blvd
Hermosa Beach, CA 90254-4023
Phone
(310) 937-2323
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carina M Escudero, DPT
Title
Owner
Phone
(310) 937-2323

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

1035 Aviation Blvd
Hermosa Beach, CA 90254-4023

Mailing address

1035 Aviation Blvd
Hermosa Beach, CA 90254-4023
Phone (310) 937-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081124000165 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2163582990 Receives reassigned benefits from 12 practitioners
Practice locations: Hermosa Beach, CA

National Provider Directory

National Provider Directory

Locations

1035 Aviation Blvd
Hermosa Beach, CA 90254
Phone (310) 251-0862

2711 N Sepulveda Blvd
#257
Manhattan Beach, CA 90266

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1740304708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 AVIATION BLVD",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544023",
            "telephone_number": "310-937-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 AVIATION BLVD",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544023",
            "telephone_number": "310-937-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIM SPORTS MEDICINE AND PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "ESCUDERO",
        "authorized_official_first_name": "CARINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-937-2323",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.