Healthcare Provider Details

I. General information

NPI: 1275658429
Provider Name (Legal Business Name): JOY LIM PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 WALNUT DR
SAN RAMON CA
94583
US

IV. Provider business mailing address

740 RYAN TERRACE
SAN RAMON CA
94583
US

V. Phone/Fax

Practice location:
  • Phone: 925-217-8786
  • Fax: 815-774-9152
Mailing address:
  • Phone: 815-919-4601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number41863
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070.015099
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: