Randall M Lim

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

114466 Issued in TX

Practice address

23934 Bearberry Thicket TRL
Katy, TX 77493-5064

Phone

(281) 636-8745

NPI assigned

Jul 16, 2018

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

Practice roles

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.

• Pathmaker Therapy Services, PLLC

  • Occupational Therapist
  • Katy, TX
  • NPI 1336968676
  NPD Authorized official

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1578049243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23934 BEARBERRY THICKET TRL",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774935064",
            "telephone_number": "281-636-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23934 BEARBERRY THICKET TRL",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774935064",
            "telephone_number": "281-636-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "RANDALL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-16",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifesculpt, LLC
• Lifespark Homes LLC
• Lifetime Healthcare Inc
• Maranatha Liga, LCSW
• McKenna Nicole Light, RBT, CPR
• Vicky Li-Ching Lim, LPC-A
• Julie Lima, APRN
• Knezyk Pennington Limerick, FNP-C
• Jesus Limones
• Aaron Jiunhan Lin, MD

• Occupational Therapist in Katy, TX
• Providers in Katy, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.