Charles Li, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

012919 Issued in NY

Practice address

6970 Grand Central Pkwy
Forest Hills, NY 11375-3949

Phone

(718) 263-4600

NPI assigned

Mar 17, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1013717248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6139 AUSTIN ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741031",
            "telephone_number": "718-687-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6970 GRAND CENTRAL PKWY",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753949",
            "telephone_number": "718-263-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "CHARLES",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "012919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lee Lewis, M.S.ED, B.C.S.E
• Siri Anita Lewis, M.S.
• Marianna Leybman, M.A.
• LFL Internal Medicine Associates PC
• Li Medical of Ny PC
• Jiaxuan Li
• Michael Youzhu Li, M.D.
• Susana Li
• Xiaofeng Li, MD
• Xin Yun Li, MD

• Physical Therapy Assistant in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.