Justin Chien-Yo Lin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

35795 Issued in CA

Practice address

14661 Myford Rd
Suite C
Tustin, CA 92780-7205

Phone

(714) 900-3880

Fax

(714) 731-0932

NPI assigned

Sep 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rehab and Revive Physical Therapy Inc.

  • Orthopedic Physical Therapist
  • Tustin, CA
  • NPI 1528476165
  NPD (past) Authorized official

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1063608891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14661 MYFORD RD",
            "address_2": "SUITE C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807205",
            "telephone_number": "714-900-3880",
            "fax_number": "714-731-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14661 MYFORD RD",
            "address_2": "SUITE C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807205",
            "telephone_number": "714-900-3880",
            "fax_number": "714-731-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JUSTIN",
        "middle_name": "CHIEN-YO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305205106",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "542045764",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breannah Limbo
• Samuel Houston Limbong, M.D.
• Lin Wu Dba Oc Health Acupuncture
• Iris Lin, M.A. OTR/L
• Jennifer Chieh Lin, DDS
• Karen M Lin, DDS
• Lisa Sophia Lin
• Paul Lin
• Steve C Lin, D.D.S
• Tiffanie Lin

• Physical Therapist in Tustin, CA
• Providers in Tustin, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.