Individual provider Active NPI

Jean W Lin, PT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1285747568
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1026292 Issued in TX
Practice address
11589 S Wilcrest Dr
Houston, TX 77099-4752
Phone
(281) 575-8288
Fax
(281) 575-6833
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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 1026292 TX Primary

Addresses

Primary practice location

11589 S Wilcrest Dr
Houston, TX 77099-4752

Mailing address

11589 S Wilcrest Dr
Houston, TX 77099-4752
Phone (281) 575-8288

Other identifiers 2

IdentifierTypeStateIssuer
142950802MedicaidTX
142950803MedicaidTX

Other names 1

  • Mrs. Wan Chen Lin Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100218000876 TX Practitioner - Physical Therapist in Private Practice 5890839518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilcrest Physical Therapy, PCGroup PAC ID 0042347817, 2 clinicians

Practice addresses (Care Compare)

11701 S Wilcrest Dr
Houston, TX 77099-4756
Phone (281) 575-8288

9889 Bellaire Blvd
Suite 250
Houston, TX 77036-3593
Phone (713) 773-2890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1026292TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilcrest Physical Therapy, PC Physical Therapist CurrentSince Jan 19, 2010 Accepting new patients

Locations

11701 S Wilcrest Dr
Houston, TX 77099
Phone (281) 495-3600

9889 Bellaire Blvd
Ste 250
Houston, TX 77036
Phone (713) 773-2890

11589 S Wilcrest Dr
Houston, TX 77099
Phone (281) 575-8288

6100 Corporate Dr
Ste 375
Houston, TX 77036
Phone (281) 575-8288

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1285747568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11589 S WILCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994752",
            "telephone_number": "281-575-8288",
            "fax_number": "281-575-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11589 S WILCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994752",
            "telephone_number": "281-575-8288",
            "fax_number": "281-575-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JEAN",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1026292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142950802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142950803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WAN",
            "last_name": "LIN",
            "middle_name": "CHEN",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.