MRS. LAUREN I. MIMS (P.T.) – Physical Therapist, NPI 1104028372
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL
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Provider Addresses for MRS. LAUREN I. MIMS (P.T.)
10417 RIVER BREAM DR
RIVERVIEW, FL 335692736
Phone: (813) 681-4023
Type: Mailing
Ulmerton Road, Largo, Pinellas County, Florida, 33771, United States
LARGO, FL 337714548
Phone: (727) 430-5205
Fax: (775) 599-3928
Type: Location
2122 YORK RD STE 300
OAK BROOK, IL 605231925
Phone: (630) 575-1980
Fax: (630) 928-5080
Type: Mailing
690 S COOPER RD STE 101
GILBERT, AZ 852335900
Phone: (480) 503-2100
Fax: (480) 503-2131
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-02-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220204000643 | I | Physical Therapist In Private Practice | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33569)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| - | IL | |
| - | IL | |
| Physical Therapist In Private Practice | VA | |
| - | MI | |
| - | IL | |
| Physical Therapist In Private Practice | AZ | |
| Physical Therapist In Private Practice | IL | |
| - | MI |
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