Individual provider Active NPI

Michelle Lin NG, DPT

  • Physical Therapist
  • Encinitas, CA
National Provider Identifier
1629797006
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT305877 Issued in CA
Practice address
1004 N El Camino Real
Encinitas, CA 92024-1320
Phone
(760) 632-6942
NPI assigned
Aug 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT03546 RI
Physical Therapist 225100000X PT305877 CA Primary

Addresses

Primary practice location

1004 N El Camino Real
Encinitas, CA 92024-1320

Mailing address

PO Box 35468
Brighton, MA 02135-0008
Phone (857) 399-6749

Other practice location 1

765 Allens Ave
Providence, RI 02905-5443
Phone (401) 444-5418

Other practice location 2

148 W River St
Providence, RI 02904-2615
Phone (401) 793-2145

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
PT305877CAMDPhysical Therapist
PT03546RIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1629797006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35468",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021350008",
            "telephone_number": "857-399-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 N EL CAMINO REAL",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241320",
            "telephone_number": "760-632-6942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "765 Allens Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029055443",
            "country_code": "US",
            "telephone_number": "401-444-5418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "148 W River St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029042615",
            "country_code": "US",
            "telephone_number": "401-793-2145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NG",
        "first_name": "MICHELLE",
        "middle_name": "LIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03546",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT305877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.