Individual provider Active NPI

Stefanie Lin

  • Orthopedic Physical Therapist
  • Pasadena, CA
National Provider Identifier
1427724137
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
300721 Issued in CA
Practice address
1224 E Green St
Pasadena, CA 91106-3171
Phone
(626) 356-4948
NPI assigned
Aug 22, 2021
Last updated
Aug 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 300721 CA Primary

Addresses

Primary practice location

1224 E Green St
Pasadena, CA 91106-3171

Mailing address

530 Dartmouth Rd
Burbank, CA 91504-2940
Phone (818) 395-8901

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Stefanie@bodysynergypt.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210924000431 CA Practitioner - Physical Therapist in Private Practice 3173920774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
George Washington University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Body Synergy Physical Therapy IncGroup PAC ID 6608884416, 4 clinicians

Practice addresses (Care Compare)

600 S Lake Ave
Suite 306
Pasadena, CA 91106-3955
Phone (626) 356-4948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
300721CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Synergy Physical Therapy, Inc. Orthopedic CurrentSince Aug 25, 2021 Accepting new patients

Locations

600 S Lake Ave
Ste 306
Pasadena, CA 91106
Phone (626) 356-4948

Interoperability endpoints

  • Direct secure messaging: stefanie@bodysynergypt.com

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, 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": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1427724137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 DARTMOUTH RD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042940",
            "telephone_number": "818-395-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 E GREEN ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063171",
            "telephone_number": "626-356-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "STEFANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "300721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Stefanie@bodysynergypt.com",
            "affiliation": "N",
            "address_1": "1224 E Green St",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911063171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.