Organization Active NPI

Lim Physical Therapy PC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1396458139
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LIM PHYSICAL THERAPY PC
Practice address
501 5TH Ave RM 1204
New York, NY 10017-7873
Phone
(646) 777-2078
Fax
(646) 777-2057
NPI assigned
Dec 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Byeungguk Lim, DPTNPI 1902525256
Title
DPT
Phone
(646) 777-2078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

501 5TH Ave RM 1204
New York, NY 10017-7873

Mailing address

501 5TH Ave RM 1204
New York, NY 10017-7873
Phone (646) 777-2078

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230215001895 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820460140 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

124 E 40th St
Rm 704
New York, NY 10016
Phone (413) 591-0543

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1396458139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 5TH AVE RM 1204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100177873",
            "telephone_number": "646-777-2078",
            "fax_number": "646-777-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 5TH AVE RM 1204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100177873",
            "telephone_number": "646-777-2078",
            "fax_number": "646-777-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIM PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-26",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "BYEUNGGUK",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "646-777-2078",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.