Active NPI
Brandon Jihoon Lim, DPT, CMTPT
- Orthopedic Physical Therapist
- Columbia, MD
National Provider Identifier
1942618178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 8827 Columbia 100 Pkwy Ste 1
Columbia, MD 21045 - Phone
- (443) 574-4250
- Fax
- (443) 535-6825
- NPI assigned
- Jul 31, 2014
- Sex
- Male
- Sole proprietor
- No
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 | |||
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
8827 Columbia 100 Pkwy Ste 1
Columbia, MD 21045
Mailing address
3595 Fels LN
Apt 3203
Ellicott City, MD 21043
Phone (443) 545-7171
Other names 1
- Ji Hoon Lim
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 |
|---|---|---|---|
| 25123 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Limitless Physiotherapy, LLC | Current | Accepting new patients | |
| Life Fitness Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
9192 Red Branch Rd
Ste 120
Columbia, MD 21045
Phone (443) 545-7171
8827 Columbia 100 Pkwy
Ste 1
Columbia, MD 21045
Phone (443) 545-7171
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Columbia, MD
- NPI 1063938108
-
- Physical Therapist
- Ellicott City, MD
- NPI 1285882670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1942618178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3595 FELS LN",
"address_2": "APT 3203",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "21043",
"telephone_number": "443-545-7171",
"fax_number": "443-535-6825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8827 COLUMBIA 100 PKWY STE 1",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21045",
"telephone_number": "443-574-4250",
"fax_number": "443-535-6825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "BRANDON",
"middle_name": "JIHOON",
"name_prefix": "Dr.",
"credential": "DPT, CMTPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-31",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JI",
"last_name": "LIM",
"middle_name": "HOON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.