Calvin Jim

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC018714 Issued in PA

Practice address

9815 Roosevelt Blvd
Philadelphia, PA 19114-1035

Phone

(215) 677-8200

NPI assigned

Oct 25, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1558088047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 MURTY LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163765",
            "telephone_number": "267-815-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141035",
            "telephone_number": "215-677-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIM",
        "first_name": "CALVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC018714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wei Jiang, M.D., PH.D
• Yuting Jiang, PHARMD
• Joseph Kochadathil Jibi
• Debra Jih, M.D.
• Jim Grilli Psychotherapy and Consultation, LLC
• Claudia Jimenez Fang Tac
• Max Eduardo Jimenez Pastran, MD
• Maria Angelica Jimenez-Howe
• Danily Patricia Jimenez-Viloria
• Ana Soccorro Jimenez, MD

• Occupational Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.