Active NPI
Pattie Lin, DPT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1639543192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT292562
- Practice address
- 408 W 11TH St
Los Angeles, CA 90015-2102 - Phone
- (443) 538-4836
- NPI assigned
- Nov 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT292562 | CA | Primary |
| Physical Therapist | 225100000X | 1263810 | TX |
Addresses
Primary practice location
408 W 11TH St
Los Angeles, CA 90015-2102
Mailing address
300 S Santa Fe Ave
3-516
Los Angeles, CA 90013-3100
Phone (443) 538-4836
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 |
|---|---|---|---|
| PT292562 | CA | MD | Physical Therapist |
| 1263810 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1639543192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S SANTA FE AVE",
"address_2": "3-516",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900133100",
"telephone_number": "443-538-4836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 W 11TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900152102",
"telephone_number": "443-538-4836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "PATTIE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-20",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT292562",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1263810",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.