Chester Lin, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

41104 Issued in CA

Practice address

14711 Princeton Ave Ste 8
Moorpark, CA 93021-1465

Phone

(562) 396-5799

Fax

(805) 290-1994

NPI assigned

Mar 26, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chester Lin

  • Physical Therapist
  • Moorpark, CA
  • NPI 1174064463
  NPD (past) Authorized official
• White Mountain Physical Therapy Inc

  • Physical Therapist
  • Moorpark, CA
  • NPI 1568031573
  NPD

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1134546351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14711 PRINCETON AVE STE 8",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211465",
            "telephone_number": "805-876-4176",
            "fax_number": "805-290-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14711 PRINCETON AVE STE 8",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211465",
            "telephone_number": "562-396-5799",
            "fax_number": "805-290-1994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 E Los Angeles Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Moorpark",
            "state": "CA",
            "postal_code": "930212078",
            "country_code": "US",
            "telephone_number": "805-876-4176",
            "fax_number": "805-290-1994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "CHESTER",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole V Le, O.D.
• Charles J Lee, DDS
• Brielle Leonard
• Rebecca Leonard
• Lev Grinman MD 2 PC
• Amanda Livingston-Mejia, LCSW
• Nicolle Elizabeth Lohrasbi, PHARMD
• Longs Drug Stores California LLC
• Cecilia Lopez, PA
• Los Robles Regional Medical Center

• All providers in Moorpark, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.