IndividualActive
Jae-Woo Im, OT
NPI 1235469776 · Occupational Therapist · Fulton, MD
Provider details
- NPI number
- 1235469776
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 05416 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8925 Tawes St
Fulton, MD 20759-2582
Phone: (240) 997-0326
Fax: (410) 928-4907
Street-level locationGet directions
Mailing address
8925 Tawes St
Fulton, MD 20759-2582
Registry dates
- Enumerated
- 2010-01-06
- Last updated
- 2014-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.