Active NPI
Joanne Lim
- Physical Rehabilitation Occupational Therapist
- Hayward, CA
National Provider Identifier
1124418538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- OT 13905
- Practice address
- 27200 Calaroga Ave
Hayward, CA 94545-4339 - Phone
- (510) 780-4308
- NPI assigned
- Jan 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT 13905 | CA | Primary |
Addresses
Primary practice location
27200 Calaroga Ave
Hayward, CA 94545-4339
Mailing address
1713 Cypress Ave
San Mateo, CA 94401-2067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 13905 | CA | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422057600000",
"number": "1124418538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1713 CYPRESS AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944012067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27200 CALAROGA AVE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945454339",
"telephone_number": "510-780-4308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "JOANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-24",
"last_updated": "2015-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "CA",
"license": "OT 13905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.