Individual provider Active NPI

Chin Pu Lin, PHYSICAL THERAPIST

  • Physical Therapist
  • Lancaster, CA
National Provider Identifier
1194536912
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT295712 Issued in CA
Practice address
43979 15TH St W
Lancaster, CA 93534-4635
Phone
(661) 522-3711
Fax
(661) 522-3714
NPI assigned
Jan 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT295712 CA Primary

Addresses

Primary practice location

43979 15TH St W
Lancaster, CA 93534-4635

Mailing address

43979 15TH St W
Lancaster, CA 93534-4635
Phone (661) 522-3711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318002772 CA Practitioner - Physical Therapist in Private Practice 0547782633 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT295712CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Physical Therapy Center CurrentSince Jan 20, 2025 Accepting new patients

Locations

43979 15th St W
Lancaster, CA 93534
Phone (661) 522-3711

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": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1194536912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43979 15TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344635",
            "telephone_number": "661-522-3711",
            "fax_number": "661-522-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43979 15TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344635",
            "telephone_number": "661-522-3711",
            "fax_number": "661-522-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "CHIN PU",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT295712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.