Individual provider Active NPI

Michael Andrew Lim Torres

  • Physical Therapist
  • National City, CA
National Provider Identifier
1770302218
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306794 Issued in CA
Practice address
3400 E 8TH St Ste 108
National City, CA 91950-3168
Phone
(619) 482-3000
NPI assigned
Oct 10, 2024
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 306794 CA Primary

Addresses

Primary practice location

3400 E 8TH St Ste 108
National City, CA 91950-3168

Mailing address

3400 E 8TH St Ste 108
National City, CA 91950-3168
Phone (619) 482-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024001932 CA Practitioner - Physical Therapist in Private Practice 9931632304 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306794CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Plus Physical Therapy, Inc. Physical Therapist CurrentSince Aug 29, 2024 Accepting new patients
The Chiro Office PastSince Aug 29, 2024 Accepting new patients

Locations

1392 E Palomar St
Ste 503
Chula Vista, CA 91913
Phone (619) 482-3000

386 E H St
Ste 203
Chula Vista, CA 91910
Phone (619) 482-3000

600 Palm Ave
Ste 126
Imperial Beach, CA 91932
Phone (619) 332-4200

3400 E 8th St
Ste 108
National City, CA 91950
Phone (619) 482-3000

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.

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1770302218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E 8TH ST STE 108",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503168",
            "telephone_number": "619-482-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E 8TH ST STE 108",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503168",
            "telephone_number": "619-482-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "MICHAEL ANDREW",
        "middle_name": "LIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.