ALVIN J LAN – Physical Therapist, NPI 1174151385

ALVIN J LAN is a healthcare provider. based in La grande, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 2019026215 (MO). The NPI Number for ALVIN J LAN is 1174151385

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
ALVIN J LAN
NPI
1174151385
Phone
(541) 963-8678
Address
91 ARIES LN
Enumeration Date
1 April 2020
Last Update Date
31 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3147810679
Graduation Year
2019 (7 years ago)
PAC ID
4486092517
Group Practice PAC ID
4789602681
Professional Enrollment ID
I20240409000827
Address ID
MO631302544SA6940XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:6State licenses:3Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for ALVIN J LAN

  • 91 ARIES LN

    LA GRANDE, OR 978503309

    Phone: (541) 963-8678

    Type: Mailing

  • 1270 STRASSNER DR UNIT 3307

    BRENTWOOD, MO 631441887

    Phone: (314) 662-6505

    Type: Mailing

  • 120 ELZORA ST

    MILTON FREEWATER, OR 978629454

    Phone: (469) 524-5563

    Type: Location

  • 91 Aries Ln

    LA Grande, OR 978503309

    Phone: (541) 963-8678

    Type: Location

  • 685a US-101

    Florence, OR 97439

    Phone: (541) 902-1669

    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: 2024-04-09

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
I20240409000827IPhysical Therapist In Private PracticeMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97850)

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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: 4789602681View full group profile
NameSpecialtyState
-IL
Physical Therapist In Private PracticeIL
-IL
-IL
Physical Therapist In Private PracticeVA
-MI
-IL
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeIL
-MI

Reviews

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Frequently asked questions

What identifier follows ALVIN J LAN across health systems?
The NPI 1174151385 uniquely identifies ALVIN J LAN in U.S. healthcare data.
Does the public listing show ALVIN J LAN as active?
ALVIN J LAN's NPI record reflects an active status in NPPES.
What services align with ALVIN J LAN's listing?
ALVIN J LAN's public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to ALVIN J LAN?
The directory associates ALVIN J LAN with La Grande, Oregon. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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