Active NPI
Willie Lin
- Occupational Therapist
- Montclair, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 5350 Olive St
Montclair, CA 91763-1639 - Phone
- (909) 497-1900
- NPI assigned
- Nov 11, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | CA | Primary |
Addresses
Primary practice location
5350 Olive St
Montclair, CA 91763-1639
Mailing address
5350 Olive St
Montclair, CA 91763-1639
Other practice location 1
4234 Riverwalk Pkwy Ste 200
Riverside, CA 92505-3312
Phone (951) 977-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4234 Riverwalk Pkwy
Suite 200
Riverside, CA 92505-3312
Phone (951) 977-2500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strive Physical Therapy and Wellness Center PC | Occupational Therapist | Current | Accepting new patients |
| San Bernardino Medical Orthopaedic Group, Inc. | Current | Accepting new patients | |
| San Bernardino Medical Orthopaedic Group, Inc. | Current | Accepting new patients |
Locations
5350 Olive St
Montclair, CA 91763
Phone (909) 295-5900
1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810
1801 Orange Tree Ln
Ste 200
Redlands, CA 92374
Phone (909) 557-1607
1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964
4234 Riverwalk Pkwy
Ste 200
Riverside, CA 92505
Phone (951) 977-2500
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Arrowhead Orthopaedics
- Orthopaedic Surgery Physician
- Redlands, CA
- NPI 1336187475
-
dba Arrowhead Orthopaedics
- Orthopaedic Surgery Physician
- Beaumont, CA
- NPI 1235964537
-
- Physical Therapist
- Montclair, CA
- NPI 1386314490
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1013625748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 OLIVE ST",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917631639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5350 OLIVE ST",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917631639",
"telephone_number": "909-497-1900"
}
],
"practiceLocations": [
{
"address_1": "4234 Riverwalk Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925053312",
"country_code": "US",
"telephone_number": "951-977-2500",
"fax_number": "951-684-1678",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIN",
"first_name": "WILLIE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-11",
"last_updated": "2023-10-25",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.