Active NPI
Michael Lim, PT
- Physical Therapist
- Van Nuys, CA
National Provider Identifier
1932641735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT28215
- Practice address
- 6245 Kester Ave Apt 10
Van Nuys, CA 91411-2116 - Phone
- (323) 899-2889
- NPI assigned
- Nov 9, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT28215 | CA | Primary |
Addresses
Primary practice location
6245 Kester Ave Apt 10
Van Nuys, CA 91411-2116
Mailing address
6245 Kester Ave Apt 10
Van Nuys, CA 91411-2116
Phone (323) 899-2889
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 |
|---|---|---|---|
| PT28215 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1932641735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6245 KESTER AVE APT 10",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914112116",
"telephone_number": "323-899-2889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6245 KESTER AVE APT 10",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914112116",
"telephone_number": "323-899-2889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "MICHAEL",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-09",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT28215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.