Active NPI
Tabitha Lin, OTD, OTR/L
- Occupational Therapist
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 20740
- Practice address
- 133 N Altadena Dr Ste 415
Pasadena, CA 91107-7334 - Phone
- (626) 669-3117
- NPI assigned
- Sep 4, 2024
- Last updated
- May 27, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 20740 | CA | Primary |
Addresses
Primary practice location
133 N Altadena Dr Ste 415
Pasadena, CA 91107-7334
Mailing address
1022 N Doria St
Anaheim, CA 92801-3366
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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
- University of Southern California Keck School of Medicine, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
11500 W Olympic Blvd
Suite 470
Los Angeles, CA 90064-1530
Phone (424) 293-2305
960 E Green St
Pasadena, CA 91106-2401
Phone (626) 469-0025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20740 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prendergast and Rummer Phys Therapy Pelvic Health & Rehabiliation Ctr | Current | Accepting new patients | |
| Momentum Physical Therapy | Past | Accepting new patients | |
| Akincilar and Prendergast, Inc | Past | Accepting new patients |
Locations
11500 W Olympic Blvd
Ste 470
Los Angeles, CA 90064
Phone (310) 473-8287
32 Daniel Webster Hwy
Ste 16
Merrimack, NH 03054
Phone (603) 589-9184
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 Pelvic Health and Rehabilitation Center
- Physical Therapy Clinic/Center
- San Francisco, CA
- NPI 1205112174
-
- Physical Therapist
- Los Angeles, CA
- NPI 1760547467
-
dba Pelvic Health and Rehabilitation Center
- Physical Therapy Clinic/Center
- Lexington, MA
- NPI 1801288824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1083449789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 N DORIA ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928013366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 N ALTADENA DR STE 415",
"city": "PASADENA",
"state": "CA",
"postal_code": "911077334",
"telephone_number": "626-669-3117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "TABITHA",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-04",
"last_updated": "2025-05-27",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "20740",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4733 W Sunset Blvd",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900276021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.