Qing Evelyn Li, L. AC., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

31375 Issued in NY

Practice address

14105 Northern Blvd
Apt. 6F
Flushing, NY 11354-4247

Phone

(646) 409-7137

NPI assigned

Nov 17, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Great Wall Dynamic Physical Therapy & Acupuncture PLLC

  • Specialist
  • Flushing, NY
  • NPI 1649557455
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1003060120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14809 NORTHERN BLVD",
            "address_2": "1K",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544346",
            "telephone_number": "646-409-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14105 NORTHERN BLVD",
            "address_2": "APT. 6F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544247",
            "telephone_number": "646-409-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "QING",
        "middle_name": "EVELYN",
        "credential": "L. AC., DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "3017",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "31375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Xiaopu Li, MD
• Qi Li
• Qian Li, LAC
• Qian Hong Li, NP
• Qili Li, M.D.
• Qipu Li
• Rita Xiaofang Li, FNP-BC
• Shenglie Li
• Sherry S Li, M.D., PH.D.
• Sheung Wei Li, DPT

• Physical Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.