Individual provider Active NPI

Jing Lin

  • Physical Therapist
  • Clermont, FL
National Provider Identifier
1831928365
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2440 Hooks St FL 1
Clermont, FL 34711-3514
Phone
(352) 394-2862
NPI assigned
Aug 1, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 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 FL Primary

Addresses

Primary practice location

2440 Hooks St FL 1
Clermont, FL 34711-3514

Mailing address

2440 Hooks St
Clermont, FL 34711-3514
Phone (352) 394-2862

Other practice location 1

2440 Hooks St
Clermont, FL 34711-3514
Phone (352) 394-2862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240903000018 FL Practitioner - Physical Therapist in Private Practice 2668911843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

2440 Hooks St
Clermont, FL 34711-3514
Phone (321) 841-7550

32 W Gore St
Orlando, FL 32806-1134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Aug 8, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 8, 2024 Accepting new patients

Locations

2440 Hooks St
Clermont, FL 34711
Phone (352) 394-0833

2440 Hooks St
Fl 1
Clermont, FL 34711
Phone (352) 394-2862

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1831928365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 HOOKS ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113514",
            "telephone_number": "352-394-2862",
            "fax_number": "352-394-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 HOOKS ST FL 1",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113514",
            "telephone_number": "352-394-2862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2440 Hooks St",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347113514",
            "country_code": "US",
            "telephone_number": "352-394-2862",
            "fax_number": "352-394-2861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "JING",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.