Active NPI
Marlon Lim, PT
- Physical Therapist
- Roanoke Rapids, NC
National Provider Identifier
1467673632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8735
- Practice address
- 1223 Julian R Allsbrook Hwy
Roanoke Rapids, NC 27870-5126 - Phone
- (252) 537-1215
- Fax
- (252) 537-1816
- NPI assigned
- May 2, 2007
- Last updated
- Apr 16, 2009
- 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 | 8735 | NC | Primary |
Addresses
Primary practice location
1223 Julian R Allsbrook Hwy
Roanoke Rapids, NC 27870-5126
Mailing address
PO Box 7594
Rocky Mount, NC 27804-0594
Phone (252) 443-0808
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2504211 | Other | NC | MEDICARE - CPTA |
| 2504211A | Other | NC | MEDICARE - WOSNC |
| 078UW | Other | BCBS | |
| 7212481 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8735 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Physical Therapy Associates LLC | Past | Accepting new patients | |
| Wilson Orthopaedic Surgery & Neurology Center PA | Past | Accepting new patients |
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.
-
dba CORA Physical Therapy - Hendersonville
- Rehabilitation Clinic/Center
- Hendersonville, NC
- NPI 1336890086
-
- Orthopaedic Surgery Physician
- Wilson, NC
- NPI 1861544439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239840000000",
"number": "1467673632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7594",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278040594",
"telephone_number": "252-443-0808",
"fax_number": "252-451-9032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 JULIAN R ALLSBROOK HWY",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278705126",
"telephone_number": "252-537-1215",
"fax_number": "252-537-1816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "MARLON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2009-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "8735",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - CPTA",
"identifier": "2504211",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - WOSNC",
"identifier": "2504211A",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "078UW",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7212481",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke Rapids, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.