Individual provider Active NPI

Robert Lim, DPT

  • Physical Therapist
  • Temple City, CA
National Provider Identifier
1306478409
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
298054 Issued in CA
Practice address
9132 Longden Ave
Temple City, CA 91780-1603
Phone
(626) 866-2831
NPI assigned
Feb 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 298054 CA Primary

Addresses

Primary practice location

9132 Longden Ave
Temple City, CA 91780-1603

Mailing address

804 E Ross Ave
Alhambra, CA 91801-5517
Phone (626) 866-2831

Other identifiers 1

IdentifierTypeStateIssuer
298054OtherCAFEDERATION OF STATE BOARDS OF PHYSICAL THERAPY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210317002519 CA Practitioner - Physical Therapist in Private Practice 8729494711 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
One Body Physical Therapy Inc Physical Therapist CurrentSince Jul 25, 2021 Accepting new patients
Shriners Hospitals for Children CurrentSince Jul 26, 2025 Accepting new patients
Physical Edge Physical Therapy Inc Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Mar 8, 2021 Accepting new patients
Shriners Hospitals for Children Physical Therapist CurrentSince Jul 26, 2025 Accepting new patients
Aqe Physical Therapy, Inc CurrentSince Feb 14, 2022 Accepting new patients
Shriners Hospitals for Children Past Accepting new patients

Locations

253 N Santa Anita Ave
Arcadia, CA 91006
Phone (626) 294-0070

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

433 N 4th St
Ste 216
Montebello, CA 90640
Phone (323) 530-0433

909 S Fair Oaks Ave
Pasadena, CA 91105
Phone (213) 388-3151

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1306478409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 E ROSS AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015517",
            "telephone_number": "626-866-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9132 LONGDEN AVE",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801603",
            "telephone_number": "626-866-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "ROBERT",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-06",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERATION OF STATE BOARDS OF PHYSICAL THERAPY",
            "identifier": "298054",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.

Verify at the official NPI Registry.