Active NPI
Jeremy Lim, DPT
- Physical Therapist
- Kailua, HI
National Provider Identifier
1881914117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3585
- Practice address
- 1598 Ulupii St
Kailua, HI 96734-4443 - Phone
- (808) 234-4897
- Fax
- (888) 509-9789
- NPI assigned
- Jun 9, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60169739 | WA | |
| Physical Therapist | 225100000X | 3585 | HI | Primary |
Addresses
Primary practice location
1598 Ulupii St
Kailua, HI 96734-4443
Mailing address
1598 Ulupii St
Kailua, HI 96734-4443
Phone (206) 890-3847
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 |
|---|---|---|---|
| 3585 | HI | MD | Physical Therapist |
| PT60169739 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1881914117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1598 ULUPII ST",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344443",
"telephone_number": "206-890-3847",
"fax_number": "888-509-9789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1598 ULUPII ST",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344443",
"telephone_number": "808-234-4897",
"fax_number": "888-509-9789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "JEREMY",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-09",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60169739",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "3585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.