Individual provider Active NPI

Isabel Lin, PT

  • Physical Therapist
  • West Linn, OR
National Provider Identifier
1477399459
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65360 Issued in OR
Practice address
2020 8TH Ave Ste 100
West Linn, OR 97068-4657
Phone
(503) 353-1278
Fax
(503) 353-1273
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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 65360 OR Primary

Addresses

Primary practice location

2020 8TH Ave Ste 100
West Linn, OR 97068-4657

Mailing address

PO Box 22075
Milwaukie, OR 97269-2075
Phone (503) 353-1278

Other practice location 1

12119 SE Stevens Ct
Happy Valley, OR 97086-2620
Phone (503) 353-1278

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
65360ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Primary Care Group PC Physical Therapist Current Accepting new patients
Northwest Primary Care Group, PC Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients

Locations

12119 SE Stevens Ct
Portland, OR 97086
Phone (503) 353-1278

3033 SE Monroe St
Portland, OR 97222
Phone (503) 216-5380

2020 8th Ave
Ste 100
West Linn, OR 97068
Phone (503) 353-1278

Interoperability endpoints

  • Direct secure messaging: isabel.lin.1@30939.direct.athenahealth.com

Organizations & group practices 2

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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1477399459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22075",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972692075",
            "telephone_number": "503-353-1278",
            "fax_number": "503-353-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 8TH AVE STE 100",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684657",
            "telephone_number": "503-353-1278",
            "fax_number": "503-353-1273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12119 SE Stevens Ct",
            "address_purpose": "LOCATION",
            "city": "Happy Valley",
            "state": "OR",
            "postal_code": "970862620",
            "country_code": "US",
            "telephone_number": "503-353-1278",
            "fax_number": "503-353-1273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "ISABEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.