Individual provider Active NPI

Joseph Wen Jea Lin, DPT

  • Physical Therapist
  • Vancouver, WA
National Provider Identifier
1417704016
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1125 SE 163Rd PL Ste 102
Vancouver, WA 98683-4468
Phone
(360) 658-4340
NPI assigned
May 1, 2024
Last updated
May 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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 Primary

Addresses

Primary practice location

1125 SE 163Rd PL Ste 102
Vancouver, WA 98683-4468

Mailing address

6355 SW Cape Meares CT
Beaverton, OR 97007-5139
Phone (626) 560-2616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240531000505 WA Practitioner - Physical Therapist in Private Practice 8325480635 Reassigns benefits to 1 organization
I20250512002986 OR Practitioner - Physical Therapist in Private Practice 8325480635 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapydia, Inc. Physical Therapist CurrentSince May 5, 2025 Accepting new patients
Therapydia, Inc. Physical Therapist CurrentSince May 5, 2025 Accepting new patients
Therapydia of Washington PC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients

Locations

18 E Blithedale Ave
Ste 21
Mill Valley, CA 94941

9282 NE Windsor St
Hillsboro, OR 97006
Phone (503) 606-8849

2808 E Burnside St
Portland, OR 97214
Phone (503) 477-4802

1125 SE 163rd Pl
Ste 102
Vancouver, WA 98683
Phone (360) 658-4340

7604 NE 5th Ave
Ste 109
Vancouver, WA 98665
Phone (360) 314-4380

Organizations & group practices 3

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": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1417704016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 SW CAPE MEARES CT",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970075139",
            "telephone_number": "626-560-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 SE 163RD PL STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834468",
            "telephone_number": "360-658-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JOSEPH",
        "middle_name": "WEN JEA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.