Active NPI
Stefanie Lin
- Orthopedic Physical Therapist
- Pasadena, CA
National Provider Identifier
1427724137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 300721
- Practice address
- 1224 E Green St
Pasadena, CA 91106-3171 - Phone
- (626) 356-4948
- NPI assigned
- Aug 22, 2021
- Last updated
- Aug 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Stefanie@bodysynergypt.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 300721 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Synergy Physical Therapy, Inc. | Orthopedic | Current | Accepting new patients |
Locations
600 S Lake Ave
Ste 306
Pasadena, CA 91106
Phone (626) 356-4948
Interoperability endpoints
- 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.
-
- Physical Therapy Clinic/Center
- Pasadena, CA
- NPI 1891872487
Orthopedic
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.