Individual provider Active NPI

Meng Chieh Lin, DPT

  • Physical Therapist
  • Glendale, NY
National Provider Identifier
1669207502
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
053026 Issued in NY
Practice address
7119 80TH St Ste 8210
Glendale, NY 11385-7733
Phone
(718) 554-6610
NPI assigned
Sep 2, 2024
Last updated
Sep 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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 053026 NY Primary

Addresses

Primary practice location

7119 80TH St Ste 8210
Glendale, NY 11385-7733

Mailing address

4703 213TH St Apt 2
Bayside, NY 11361-3327
Phone (917) 833-7908

Other practice location 1

13828 Queens Blvd
Briarwood, NY 11435-2666
Phone (718) 880-2385

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
053026NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Promet Physical Therapy PC Physical Therapist CurrentSince Sep 8, 2024 Accepting new patients
Promet Physical Therapy, PC Physical Therapist PastSince Sep 8, 2024 Accepting new patients

Locations

7119 80th St
Ste 8210
Glendale, NY 11385
Phone (718) 554-6610

Organizations & group practices 2

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": "1725235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1669207502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 213TH ST APT 2",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613327",
            "telephone_number": "917-833-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7119 80TH ST STE 8210",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857733",
            "telephone_number": "718-554-6610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13828 Queens Blvd",
            "address_purpose": "LOCATION",
            "city": "Briarwood",
            "state": "NY",
            "postal_code": "114352666",
            "country_code": "US",
            "telephone_number": "718-880-2385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "MENG CHIEH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.