Active NPI
Mathew Tran Lim, PT, DPT
- Physical Therapist
- Morrilton, AR
National Provider Identifier
1295402444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5034
- Practice address
- 100 Walmart Dr Ste 5
Morrilton, AR 72110-4525 - Phone
- (501) 477-2202
- Fax
- (501) 421-0543
- NPI assigned
- Aug 25, 2021
- Last updated
- Jan 5, 2023
- Sex
- Male
- 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 Therapist | 225100000X | 5034 | AR | Primary |
Addresses
Primary practice location
100 Walmart Dr Ste 5
Morrilton, AR 72110-4525
Mailing address
100 Walmart Dr Ste 5
Morrilton, AR 72110-4525
Phone (501) 477-2202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5034 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vida Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| KNH LLC | Physical Therapist | Current | Accepting new patients |
Locations
130 Houston Ave
Ste C
Perryville, AR 72126
Phone (501) 889-1900
236 Houston Ave
Perryville, AR 72126
Phone (501) 889-1900
Organizations & group practices 2
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.
-
- Physical Therapist
- Conway, AR
- NPI 1538019351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1295402444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WALMART DR STE 5",
"city": "MORRILTON",
"state": "AR",
"postal_code": "721104525",
"telephone_number": "501-477-2202",
"fax_number": "501-421-0543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WALMART DR STE 5",
"city": "MORRILTON",
"state": "AR",
"postal_code": "721104525",
"telephone_number": "501-477-2202",
"fax_number": "501-421-0543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "MATHEW",
"middle_name": "TRAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-25",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "5034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morrilton, AR
- Landmark Recovery of Arkansas, LLC
- Lemons Prescription Shop LLC
- Abigail S Lewis
- Life Wellness and Spinal Care, LLC
- Brynda Kay Lilley, BSW SOCIAL WORKER
- Keith M Lipsmeyer, M.D.
- Love Every Body Nutrition Counseling LLC
- Jack A Lyon, M.D.
- Angela Lyons, OTR/L
- Magie Eye Clinic of Morrilton, PA (Magie Vision-Hearing Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.