Individual provider Active NPI

Jimfry Lin

  • Physical Therapist
  • Redlands, CA
National Provider Identifier
1295697274
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
308787 Issued in CA
Practice address
245 Terracina Blvd Ste 105
Redlands, CA 92373-4879
Phone
(909) 792-9737
NPI assigned
Nov 28, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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 308787 CA Primary

Addresses

Primary practice location

245 Terracina Blvd Ste 105
Redlands, CA 92373-4879

Mailing address

245 Terracina Blvd Ste 105
Redlands, CA 92373-4879
Phone (909) 792-9737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260209002069 CA Practitioner - Physical Therapist in Private Practice 0244719466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaver Medical Group P CGroup PAC ID 0547164295, 251 clinicians

Practice addresses (Care Compare)

245 Terracina Blvd
Suite 105
Redlands, CA 92373-4879
Phone (909) 792-9737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
308787CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 15, 2026 Accepting new patients
Beaver Medical Group P C Physical Therapist CurrentSince Jan 15, 2026 Accepting new patients
Cassidy Medical Group Inc. Current Accepting new patients
Performance Physical Therapy, Inc. Physical Therapist CurrentSince Nov 30, 2025 Accepting new patients
Beaver Medical Group P C CurrentSince Jan 15, 2026 Accepting new patients
Centers for Family Medicine GP Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 15, 2026 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

245 Terracina Blvd
Ste 105
Redlands, CA 92373
Phone (909) 335-4102

245 Terracina Blvd
Ste 102
Redlands, CA 92373
Phone (909) 406-2671

25864 Business Center Dr
Ste C
Redlands, CA 92374
Phone (909) 796-7700

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487

Organizations & group practices 7

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": "1764288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1295697274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 TERRACINA BLVD STE 105",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734879",
            "telephone_number": "909-792-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 TERRACINA BLVD STE 105",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734879",
            "telephone_number": "909-792-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JIMFRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-28",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.