Individual provider Active NPI

Judy Lin

  • Occupational Therapist
  • Forest Hills, NY
National Provider Identifier
1477887263
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
6911 Yellowstone Blvd Apt A46
Forest Hills, NY 11375-3721
Phone
(646) 897-7812
NPI assigned
Sep 25, 2009
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

6911 Yellowstone Blvd Apt A46
Forest Hills, NY 11375-3721

Mailing address

6911 Yellowstone Blvd Apt A46
Forest Hills, NY 11375-3721
Phone (646) 897-7812

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200115002569 NY Practitioner - Occupational Therapist in Private Practice 2365877529 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agu OT PCGroup PAC ID 2365917960, 9 clinicians
Ats Rehab OT and PT and SLP PLLCGroup PAC ID 2567734452, 39 clinicians

Practice addresses (Care Compare)

10825 Horace Harding Expy
Corona, NY 11368-4532
Phone (732) 399-9700

274 W Broadway
Long Beach, NY 11561-3911
Phone (718) 809-4370

6180 Woodhaven Blvd
Rego Park, NY 11374-2742
Phone (732) 399-9700

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Esd PT OT & SLP PLLC Occupational Therapist CurrentSince Dec 16, 2019 Accepting new patients
Provider Rehab, OT. P.C. Occupational Therapist CurrentSince Sep 13, 2021 Accepting new patients
Rehab on Wheels OT PT PLLC Occupational Therapist CurrentSince Oct 1, 2021 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Occupational Therapist CurrentSince Aug 4, 2021 Accepting new patients
Ats Rehab OT & PT & SLP PLLC Occupational Therapist CurrentSince Aug 1, 2021 Accepting new patients
Prokinetics Physical Therapy P.C. CurrentSince Jul 5, 2023 Accepting new patients

Locations

1105 E County Line Rd
Ste 213
Lakewood, NJ 08701

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

10825 Horace Harding Expy
Flushing, NY 11368
Phone (516) 216-4108

274 W Broadway
Long Beach, NY 11561
Phone (516) 431-1400

6180 Woodhaven Blvd
Rego Park, NY 11374
Phone (718) 446-4300

Organizations & group practices 7

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": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1477887263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 YELLOWSTONE BLVD APT A46",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753721",
            "telephone_number": "646-897-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 YELLOWSTONE BLVD APT A46",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753721",
            "telephone_number": "646-897-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JUDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.