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

Timothy Yan, DPT

Individual provider Physical Therapist · NPI 1962201202

Timothy Yan, DPT is a Physical Therapist in Private Practice in Encino, California. Graduated from University of Southern California Keck School of Medicine in 2024, 2 years ago. Practices with Lurie Physical Therapy PC, a 19-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

17071 Ventura Blvd Ste 103
Encino, CA 91316-4142
Phone: (818) 232-4884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT307690 (CA)

Record details

NPI number1962201202
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 10, 2025
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address1184 Gomer St, Hayward, CA 94544-4316

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Lurie Physical Therapy Pc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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