Individual provider Active NPI

Jonathan Lin, DPT

  • Physical Therapist
  • Burien, WA
National Provider Identifier
1508428616
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60936458 Issued in WA
Practice address
17692 1St Ave S
Burien, WA 98148-1729
Phone
(206) 241-0477
NPI assigned
Jun 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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 60936458 WA Primary

Addresses

Primary practice location

17692 1St Ave S
Burien, WA 98148-1729

Mailing address

7400 5TH Ave NE Apt 202
Seattle, WA 98115-5348
Phone (608) 213-6190

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jolin@selectmedical.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210916002011 WA Practitioner - Physical Therapist in Private Practice 6507263654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Management Services PLLCGroup PAC ID 0143500983, 107 clinicians

Practice addresses (Care Compare)

19217 36TH Ave W
Suite 102
Lynnwood, WA 98036-5751
Phone (425) 670-9991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60936458WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Past Accepting new patients

Locations

11711 NE 12th St
Ste 3A
Bellevue, WA 98005
Phone (425) 454-1405

915 118th Ave SE
Ste 110
Bellevue, WA 98005
Phone (425) 243-6922

814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

400 Main Ave S
North Bend, WA 98045
Phone (425) 888-1156

3801 5th St SE
Ste 220
Puyallup, WA 98374
Phone (253) 445-4258

906 NE 45th St
Seattle, WA 98105
Phone (206) 347-0414

Organizations & group practices 3

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": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1508428616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 5TH AVE NE APT 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155348",
            "telephone_number": "608-213-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17692 1ST AVE S",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481729",
            "telephone_number": "206-241-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JONATHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60936458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jolin@selectmedical.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17692 1st Ave S",
            "city": "Burien",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981481729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.