Kun Man Li

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2814 Camino Dos Rios Ste 406
Newbury Park, CA 91320-1156

Phone

(805) 375-1461

Fax

(805) 498-7613

NPI assigned

Jul 11, 2022

Sex

Female

Sole proprietor

No

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)

Enrolled

Practice roles

Locations

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.

• Newbury Park Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Newbury Park, CA
  • NPI 1417046053
  NPD

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1093449605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 CAMINO DOS RIOS STE 406",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913201156",
            "telephone_number": "805-375-1461",
            "fax_number": "805-498-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 CAMINO DOS RIOS STE 406",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913201156",
            "telephone_number": "805-375-1461",
            "fax_number": "805-498-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "KUN MAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie M Leff, MSRD
• Gregory Legore
• Lei Yin DDS Dental Corporation
• Michael Levitt, PHARM.D.
• Dan Li, M.D.
• Allison Lieberman
• Victoria Rose Loeffler, OTR/L
• Conor Logan
• Zena Leigh Logan, L.AC.
• Karen Valerie Long, M.A., CCC-SLP

• Physical Therapist in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.