Individual provider Active NPI

Samantha Lin

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1457899551
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
291719 Issued in CA
Practice address
1760 Termino Ave Ste 100
Long Beach, CA 90804-2182
Phone
(562) 933-6961
NPI assigned
Feb 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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 291719 CA Primary

Addresses

Primary practice location

1760 Termino Ave Ste 100
Long Beach, CA 90804-2182

Mailing address

1355 Loma Ave
Apt 307
Long Beach, CA 90804-2962
Phone (408) 838-8059

Other practice location 1

1815 W 213th St
Suite 100
Torrance, CA 90501-2800
Phone (310) 328-0276

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL samlin

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
291719CAMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1457899551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 LOMA AVE",
            "address_2": "APT 307",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042962",
            "telephone_number": "408-838-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042182",
            "telephone_number": "562-933-6961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 W 213th St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905012800",
            "country_code": "US",
            "telephone_number": "310-328-0276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "291719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "samlin",
            "affiliation": "N",
            "address_1": "1815 W 213th St",
            "address_2": "Suite 100",
            "city": "Torrance",
            "state": "CA",
            "country_code": "US",
            "postal_code": "905012800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.