| Jingu Im, DPT | |
|
1600 W 38th St Ste 132, Austin, TX 78731-6404 | |
| (512) 348-2515 | |
| Not Available |
| Full Name | Jingu Im |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 1 Years |
| Location | 1600 W 38th St Ste 132, Austin, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811709041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1401290 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agilitas Usa, Inc | 3375454648 | 710 |
| Provider Name | Ergonomic Rehabilitation Of Houston, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1912994831 PECOS PAC ID: 8022921501 Enrollment ID: O20031111000106 |
| Provider Name | Peak Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1700271913 PECOS PAC ID: 0648583344 Enrollment ID: O20150724010198 |
| Provider Name | Agilitas Usa, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20160425001328 |
| Mailing Address | Practice Location Address |
|---|---|
| Jingu Im, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Jingu Im, DPT 1600 W 38th St Ste 132, Austin, TX 78731-6404 Ph: (512) 348-2515 |
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