Queenie Lim, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT299956 Issued in CA

Practice address

9370 Studio CT Ste 130
Elk Grove, CA 95758-8048

Phone

(916) 714-1177

Fax

(916) 714-3577

NPI assigned

Mar 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capitol Physical Therapy Center IncGroup PAC ID 5294785218, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Capitol Physical Therapy Center Inc

  • Physical Therapy Clinic/Center
  • Sacramento, CA
  • NPI 1649288648

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1831784727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 STUDIO CT STE 130",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588048",
            "telephone_number": "916-714-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 STUDIO CT STE 130",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588048",
            "telephone_number": "916-714-1177",
            "fax_number": "916-714-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "QUEENIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT299956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "PT299956",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@capitolpt.com",
            "affiliation": "N",
            "address_1": "9370 Studio Ct Ste 130",
            "city": "Elk Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "957588048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Life Integrated Services
• Lilibeth Meza Dba Serrano Guest Home
• Lilibeth Meza Dba Serrano Guest Home 2
• Lilibeth Meza Dba Serrano Guest Home 3
• Joe Timothy Lim, PHARMD, MS, MBA
• Chelcie Limcaco, PTA
• Lin and Johal Dental Corporation
• Allen I Lin, DO
• Hsiu-Fen Lin
• James T Lin, M.D.

• Physical Therapist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.