Stewart Lin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

39423 Issued in CA

Practice address

5 Bon Air Rd
Suite 129
Larkspur, CA 94939-1143

Phone

(415) 924-8900

NPI assigned

Apr 26, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1770927204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 NORRIS CANYON RD",
            "address_2": "SOUTH BUILDING",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BON AIR RD",
            "address_2": "SUITE 129",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391143",
            "telephone_number": "415-924-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larkspur Landing Optometry
• Donald L Lazzaretto, PHARM D
• Deborah Ann Leal, N.P-F
• Nicole Learned, M.D.
• John Sungchull Lee, MD
• Beth Linderborg, RN
• Brigette Lofholm, PHARMD
• Rebecca Lofholm
• Michelle Low, DO
• Landy Lum, M.S.P.T.

• Physical Therapist in Larkspur, CA
• Providers in Larkspur, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.