Lily Fong Lam, PT
NPI 1053698514ActiveIndividual· Physical Therapist· Castro Valley, CA
Physical Therapist (PT) in Castro Valley, California, trained at Columbia University College of Physicians and Surgeons (class of 2011). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1053698514 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Nov 12, 2011 |
| Last updated in NPPES | Jan 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT38269 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|
Education and affiliations
| Medical school | Columbia University College of Physicians and Surgeons |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Permanente Medical Group IncOakland, CA · 10,996 clinicians
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All 48 physical therapists in Castro Valley · All physical therapists in California