Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alvin J Lan

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1174151385

Alvin J Lan is a Physical Therapist in Private Practice in Milton Freewater, Oregon. Qualified in 2019, 7 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri and Oregon.

Years since qualifying
7
Licensed in
MO, OR
In the registry since
2020
Specialties on file
3

Practice location Address checks out

120 Elzora St
Milton Freewater, OR 97862-9454
Phone: (469) 524-5563
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 685a Us-101, Florence, OR 97439 — (541) 902-1669
  • 91 Aries Ln, La Grande, OR 97850-3309 — (541) 963-8678

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 63890 (OR)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 2019026215 (MO)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence CP000390T (OR)

Record details

NPI number1174151385
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 1, 2020
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023
Mailing address1270 Strassner Dr Unit 3307, Brentwood, MO 63144-1887

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount