NPIMap

Organization Active NPI

Chester Lin

Doing business as Plexus Physical Therapy

  • Physical Therapist
  • Moorpark, CA
National Provider Identifier
1174064463
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41104 Issued in CA
Legal business name
CHESTER LIN
Doing business as
Plexus Physical Therapy
Practice address
530 New Los Angeles Ave
Ste 103
Moorpark, CA 93021-2078
Phone
(805) 876-4176
NPI assigned
Mar 20, 2017
Last updated
Mar 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Mr. Chester Lin, MPTNPI 1134546351
Title
President
Phone
(805) 876-4176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 41104 CA Primary

Addresses

Primary practice location

530 New Los Angeles Ave
Ste 103
Moorpark, CA 93021-2078

Mailing address

530 New Los Angeles Ave
Ste 103
Moorpark, CA 93021-2078
Phone (805) 876-4176

Other names 1

  • Plexus Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

530 New Los Angeles Ave
Ste 103
Moorpark, CA 93021
Phone (805) 876-4176

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1174064463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NEW LOS ANGELES AVE",
            "address_2": "STE 103",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212078",
            "telephone_number": "805-876-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NEW LOS ANGELES AVE",
            "address_2": "STE 103",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212078",
            "telephone_number": "805-876-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER LIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-876-4176",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plexus Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moorpark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.