COREY LIN (PT, DPT) – Orthopedic Physical Therapist, NPI 1497399109

COREY LIN (PT, DPT) is a healthcare provider. based in Los angeles, California. specializing in Orthopedic Physical Therapist. They hold the professional credentials PT, DPT. They hold a License No. 297526 (CA). The NPI Number for COREY LIN (PT, DPT) is 1497399109

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
COREY LIN (PT, DPT)
NPI
1497399109
Phone
(562) 833-3508
Address
13163 FOUNTAIN PARK DR APT B218
Enumeration Date
5 November 2019
Last Update Date
5 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3108200013
Graduation Year
2019 (7 years ago)
PAC ID
4880028281
Group Practice PAC ID
6608990742
Professional Enrollment ID
I20191217003056
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for COREY LIN (PT, DPT)

  • 13163 FOUNTAIN PARK DR APT B218

    LOS ANGELES, CA 900942418

    Phone: (562) 833-3508

    Type: Mailing

  • 11611 SAN VICENTE BLVD

    LOS ANGELES, CA 900495106

    Phone: (562) 833-3508

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191217003056IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes65327$0
97530Therapy procedure using functional activities49922$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes18315$0
97140Therapy procedure using manual technique, each 15 minutes15711$0
97162Evaluation for physical therapy, typically 30 minutes2523$0
View full utilization report →

Insurance plans in this area (ZIP 90094)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608990742View full group profile
NameSpecialtyState
Physician AssistantCA
Physician AssistantCA
-GA
Physician AssistantCA
-CA
Physician AssistantOH
General Practice, Family Practice, Internal MedicineCA
-CA
Physician AssistantNY

Reviews

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Frequently asked questions

How do payers reference COREY LIN (PT, DPT)?
For COREY LIN (PT, DPT), use NPI 1497399109 as the unique 10-digit identifier.
Active or inactive — what applies to COREY LIN (PT, DPT)?
You should see COREY LIN (PT, DPT) as active in CMS-hosted NPPES data.
What kind of doctor is COREY LIN (PT, DPT)?
COREY LIN (PT, DPT) is associated with Orthopedic Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Where in California is COREY LIN (PT, DPT) registered?
Use Los Angeles, California as the headline location for COREY LIN (PT, DPT) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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