Active NPI
Andrew Lin, PT
- Physical Therapist
- Mission Viejo, CA
National Provider Identifier
1568979441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT294098
- Practice address
- 26932 Oso Pkwy Ste 260
Mission Viejo, CA 92691-5810 - Phone
- (949) 582-8800
- NPI assigned
- Jan 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT294098 | CA | Primary |
Addresses
Primary practice location
26932 Oso Pkwy Ste 260
Mission Viejo, CA 92691-5810
Mailing address
1505 Manor Gate Rd
Hacienda Heights, CA 91745-3834
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT294098 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514851200000",
"number": "1568979441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 MANOR GATE RD",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917453834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26932 OSO PKWY STE 260",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926915810",
"telephone_number": "949-582-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "ANDREW",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-02",
"last_updated": "2018-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT294098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.