Ji Su Lim, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT303893 Issued in CA

Practice address

24361 El Toro Rd Ste 140
Laguna Woods, CA 92637-8898

Phone

(949) 694-9988

Fax

(949) 694-9977

NPI assigned

Mar 21, 2023

Last updated

Mar 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innovative Management Inc

  dba England Physical Therapy

  • Physical Therapy Clinic/Center
  • Garden Grove, CA
  • NPI 1982722351
  NPD

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1225730237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12465 LEWIS ST STE 101",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404658",
            "telephone_number": "714-703-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24361 EL TORO RD STE 140",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926378898",
            "telephone_number": "949-694-9988",
            "fax_number": "949-694-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "JI SU",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT303893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laguna Woods Senior Medical Group
• Lawrence Kaminsky D.P.M.
• James Jong Lee, M.D.
• Robert M Lee, MPT
• Lesiure Dental
• John J.K. Loh, M.D.
• Longs Drug Stores California LLC (CVS Pharmacy #09246)
• Patricia Lynn Lord, COUNSELOR
• Mohsin Mahmood, D.D.S
• Mehran Ron Mahmoudian, D.D.S.

• Physical Therapist in Laguna Woods, CA
• Providers in Laguna Woods, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.