Individual provider Active NPI

Chunhuang Lin, PHYSICAL THERAPIST

  • Physical Therapist
  • Bethesda, MD
National Provider Identifier
1043541972
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25086 Issued in MD
Practice address
7562 Westlake Ter
Bethesda, MD 20817-6541
Phone
(412) 805-4270
Fax
(412) 805-4270
NPI assigned
Jan 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 032241 NY
Physical Therapist 225100000X 25086 MD Primary

Addresses

Primary practice location

7562 Westlake Ter
Bethesda, MD 20817-6541

Mailing address

7562 Westlake Ter
Bethesda, MD 20817-6541
Phone (412) 482-7146

Other practice location 1

4265 Kissena Blvd # Ll1
flushing, NY 11355
Phone (412) 482-7146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150909000205 DC Practitioner - Physical Therapist in Private Practice 5890955207 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25086MDMDPharmacist
032241NYMDPhysical Therapist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043541972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7562 WESTLAKE TER",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208176541",
            "telephone_number": "412-482-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7562 WESTLAKE TER",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208176541",
            "telephone_number": "412-805-4270",
            "fax_number": "412-805-4270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4265 Kissena Blvd # Ll1",
            "address_purpose": "LOCATION",
            "city": "flushing",
            "state": "NY",
            "postal_code": "11355",
            "country_code": "US",
            "telephone_number": "412-482-7146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "CHUNHUANG",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032241",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.