Active NPI
Charmaine Lim, OT
- Occupational Therapist
- Ontario, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21259
- Practice address
- 1950 S Mountain Ave
Ontario, CA 91762-6723 - Phone
- (909) 983-0084
- NPI assigned
- Feb 12, 2021
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 21259 | CA | Primary |
Addresses
Primary practice location
1950 S Mountain Ave
Ontario, CA 91762-6723
Mailing address
8200 Haven Ave Apt 11204
Rancho Cucamonga, CA 91730-6982
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Ontario |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21259 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sand Coast Rehab Physical Therapy Inc | Occupational Therapist | Current | Accepting new patients |
Locations
441 E Carson St
Ste K
Carson, CA 90745
Phone (732) 375-0420
625 Mayflower Rd
Claremont, CA 91711
650 Harrison Ave
Claremont, CA 91711
Phone (888) 627-2900
3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403
400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512
Interoperability endpoints
- charmaine.lim.p1@direct.evchc.nextgenshare.com
Organizations & group practices 1
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.
-
- Physical Therapist
- Lakewood, NJ
- NPI 1639766603
CA, Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1447843214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 HAVEN AVE APT 11204",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917306982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 S MOUNTAIN AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917626723",
"telephone_number": "909-983-0084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "CHARMAINE",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-12",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "21259",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Ontario",
"affiliation": "N",
"address_1": "1950 S Mountain Ave",
"city": "Ontario",
"state": "CA",
"country_code": "US",
"postal_code": "917626723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.