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AALWM CLINIC PLLC
NPI 1124816004
Clinic/Center - Rehabilitation in Altamonte Springs, FL

Active since April 29, 2025
1180 SPRING CENTRE SOUTH BLVD STE 355, ALTAMONTE SPRINGS, FL 32714(407) 312-4613(800) 414-3101 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2025, May 16, 2025 (2 updates tracked since 2025).

About Aalwm Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AALWM CLINIC PLLC (NPI 1124816004) is a healthcare organization registered as a rehabilitation in Altamonte Springs, Florida and active in the NPI registry since April 2025. The organization lists Phyleischa Mayne-owen, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1124816004
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameAALWM CLINIC PLLC
Location Address1180 SPRING CENTRE SOUTH BLVD STE 355Altamonte Springs, FL 32714-1999
Mailing Address1180 Spring Centre South Blvd Ste 355Altamonte Springs, FL 32714-1999 · (407) 312-4613 · Fax (800) 414-3101
Phone(407) 312-4613
Fax(800) 414-3101
Organization SubpartNo
Authorized OfficialPhyleischa Mayne-owenOffice Manager · (407) 312-4613
Enumeration DateApril 29, 2025
Last NPPES UpdateSeptember 25, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1124816004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
1180 SPRING CENTRE SOUTH BLVD STE 355, Altamonte Springs, FL 32714
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aalwm Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Aalwm Clinic PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Krista Richardson
Physical Therapist in Private Practice
NPI 1215483565
9102 UNIVERSAL BLVD.
Orlando, FL 32819
(850) 212-1819
✔ Accepts Medicare10 mi
David Harbour, DO
Emergency Medicine
NPI 1851394217
110 LONGWOOD AVE
Rockledge, FL 32955
(800) 476-8646
✔ PECOS✔ Accepts Medicare47 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aalwm Clinic PLLC's NPI number?

The NPI number for Aalwm Clinic PLLC is 1124816004. It was assigned to this organization in the NPPES registry on April 29, 2025.

Where is Aalwm Clinic PLLC located?

Aalwm Clinic PLLC is located at 1180 Spring Centre South Blvd Ste 355, Altamonte Springs, FL 32714. The listed phone number is (407) 312-4613.

What is Aalwm Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Is Aalwm Clinic PLLC enrolled in Medicare?

Yes. Aalwm Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aalwm Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Aalwm Clinic PLLC, in Emergency Medicine and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Aalwm Clinic PLLC was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.