Shu-Sheng Liao, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60959426 Issued in WA

Practice address

21910 24TH Ave SE Unit B
Bothell, WA 98021-5113

Phone

(425) 231-1779

NPI assigned

Apr 7, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Providence Health & Services - Washington

  • General Practice Physician
  • Everett, WA
  • NPI 1013169507
  NPD (past)

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1083078893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21910 24TH AVE SE UNIT B",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980215113",
            "telephone_number": "425-231-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21910 24TH AVE SE UNIT B",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980215113",
            "telephone_number": "425-231-1779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1485 Saratoga Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951294965",
            "country_code": "US",
            "telephone_number": "877-991-0009 x43",
            "fax_number": "877-207-9553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIAO",
        "first_name": "SHU-SHENG",
        "name_prefix": "Mr.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND 2016159",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60959426",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "SLP25171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiaoqin Liang, MA 60524345
• Li-Fang Liao, L.AC
• Liang Liao, PH.D., MBA, M.S.
• Peixi Liao
• Peter Liao, MD
• Life Care Centers of America, Inc.
• Harold Ryan Lilly, LAC, EAMP
• Gary I Limarzi, M.D.
• Emily Lin, D.D.S.
• Minchang Lin, PHARMACIST

• Speech-Language Pathologist in Bothell, WA
• Providers in Bothell, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.