Individual provider Active NPI

Bethany Lin, OTD, OTR/L

  • Occupational Therapist
  • Englishtown, NJ
National Provider Identifier
1275243586
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01073000 Issued in NJ
Practice address
184 US Highway 9
Englishtown, NJ 07726-8454
Phone
(732) 408-4492
NPI assigned
Nov 28, 2022
Last updated
May 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR01073000 NJ Primary

Addresses

Primary practice location

184 US Highway 9
Englishtown, NJ 07726-8454

Mailing address

184 US Highway 9
Englishtown, NJ 07726-8454
Phone (732) 408-4492

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230117002849 NJ Practitioner - Occupational Therapist in Private Practice 6103297858 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Spine Care and Physical Rehabilitation,LLCGroup PAC ID 0749269637, 16 clinicians

Practice addresses (Care Compare)

728 Bennetts Mills Rd
Jackson, NJ 08527-3850
Phone (732) 415-1401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01073000NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Sports Medicine of Tinton Falls LLC CurrentSince Nov 30, 2023 Accepting new patients
Advanced Spine Care and Physical Rehabilitation,LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

2080 W County Line Rd
Jackson, NJ 08527
Phone (732) 364-5123

728 Bennetts Mills Rd
Jackson, NJ 08527
Phone (732) 415-1401

728 Bennetts Mills Rd
Ste 1
Jackson, NJ 08527
Phone (732) 415-1401

4057 Asbury Ave
Ste 4
Tinton Falls, NJ 07753
Phone (732) 333-3099

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1275243586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 US HIGHWAY 9",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077268454",
            "telephone_number": "732-408-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 US HIGHWAY 9",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077268454",
            "telephone_number": "732-408-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "BETHANY",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01073000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englishtown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.

Verify at the official NPI Registry.