Active NPI
Xiao Wei Liu, MD
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Manhattan, NY
National Provider Identifier
1104445584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 337340
- Practice address
- 8 W 36TH St FL 5
Manhattan, NY 10018-9776 - Phone
- (929) 314-0119
- Fax
- (646) 354-7673
- NPI assigned
- Apr 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 337340 | NY | |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 337340 | NY | Primary |
Addresses
Primary practice location
8 W 36TH St FL 5
Manhattan, NY 10018-9776
Mailing address
6278 Forest Ave
Ridgewood, NY 11385-2010
Phone (929) 314-0119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 337340 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Defiance Medical PLLC | Sports Medicine | Current | Accepting new patients |
Locations
8 W 36th St
Fl 5
New York, NY 10018
Phone (212) 317-8303
Organizations & group practices 1
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.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- New York, NY
- NPI 1417819970
Sports Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1104445584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6278 FOREST AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113852010",
"telephone_number": "929-314-0119",
"fax_number": "646-354-7673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 W 36TH ST FL 5",
"city": "MANHATTAN",
"state": "NY",
"postal_code": "100189776",
"telephone_number": "929-314-0119",
"fax_number": "646-354-7673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "XIAO WEI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-15",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "337340",
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NY",
"license": "337340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhattan, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.