Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Calvin Jim

Individual provider Occupational Therapist · NPI 1558088047

Calvin Jim is an Occupational Therapist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2022

Practice location Address checks out

9815 Roosevelt Blvd
Philadelphia, PA 19114-1035
Phone: (215) 677-8200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OC018714 (PA)

Record details

NPI number1558088047
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 25, 2022
Last updated in NPPESOctober 25, 2022
Certification dateOctober 25, 2022

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