Provider Demographics
NPI:1063938108
Name:LIMITLESS PHYSIOTHERAPY, LLC
Entity type:Organization
Organization Name:LIMITLESS PHYSIOTHERAPY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:JIHOON
Authorized Official - Last Name:LIM
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:443-545-7171
Mailing Address - Street 1:10266 RALEIGH TAVERN LN
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-1659
Mailing Address - Country:US
Mailing Address - Phone:410-302-3369
Mailing Address - Fax:
Practice Address - Street 1:9192 RED BRANCH RD STE 120
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2053
Practice Address - Country:US
Practice Address - Phone:443-545-7171
Practice Address - Fax:443-535-6825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-21
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25123261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy