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

Jeagwan Lim

Individual provider Physical Therapist · NPI 1124475363

Jeagwan Lim is a Physical Therapist in Flushing, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

4199 Main St Ste 202B
Flushing, NY 11355-3821
Phone: (929) 398-3120
Fax: (833) 985-0130
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 035534 (NY)

Record details

NPI number1124475363
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 18, 2016
Last updated in NPPESApril 26, 2024
Certification dateApril 26, 2024
Mailing address13620 Maple Ave Ste 201c, Flushing, NY 11355-5167

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