Active NPI
Lichieh Pao, DPT
- Physical Therapist
- Rego Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 050219
- Practice address
- 6541 Wetherole St
Rego Park, NY 11374-4753 - Phone
- (917) 862-7787
- NPI assigned
- Jun 5, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 050219 | NY | Primary |
Addresses
Primary practice location
6541 Wetherole St
Rego Park, NY 11374-4753
Mailing address
6541 Wetherole St
Rego Park, NY 11374-4753
Phone (917) 862-7787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25503 Union Tpke
Glen Oaks, NY 11004-1223
Phone (718) 928-2790
44 Saint Marks PL
New York, NY 10003-8118
Phone (212) 529-5966
4801 Broadway
Union City, NJ 07087-6516
Phone (201) 751-5000
9525 Queens Blvd
Suite 3D
Rego Park, NY 11374-4510
Phone (718) 925-6212
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.16 of 100
- Quality
- 70
- Improvement activities
- 40
- Cost
- 78.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Current | Accepting new patients | |
| Total Care Physical Therapy & Sports Medicine PC | Physical Therapist | Current | Accepting new patients |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | Current | Accepting new patients |
Locations
4801 Broadway
Union City, NJ 07087
Phone (201) 543-1668
3 Huntington Quadrangle
Ste 103N
Melville, NY 11747
Phone (516) 474-2816
9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212
Organizations & group practices 3
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.
-
- Hand Physical Therapist
- East Meadow, NY
- NPI 1770540593
-
- Sports Physical Therapist
- Union City, NJ
- NPI 1538535869
-
- Occupational Therapist
- White Plains, NY
- NPI 1629825591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1043904162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6541 WETHEROLE ST",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744753",
"telephone_number": "917-862-7787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6541 WETHEROLE ST",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744753",
"telephone_number": "917-862-7787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAO",
"first_name": "LICHIEH",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-05",
"last_updated": "2023-06-05",
"certification_date": "2023-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "050219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.