Individual provider Active NPI

Susan Qi, PT, DPT

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1114497591
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
050364 Issued in NY
Practice address
13320 41St Rd Apt 3a
Flushing, NY 11355-3372
Phone
(929) 989-1888
Fax
(516) 888-7639
NPI assigned
Nov 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006385 NY
Physical Therapist 225100000X 050364 NY Primary

Addresses

Primary practice location

13320 41St Rd Apt 3a
Flushing, NY 11355-3372

Mailing address

13320 41St Rd Apt 3a
Flushing, NY 11355-3372
Phone (929) 989-1888

Other names 1

  • Xiaoshan Dai Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214002979 NY Practitioner - Physical Therapist in Private Practice 5193174290 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

13320 41St Rd
3A
Flushing, NY 11355-3632
Phone (646) 853-0613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006385NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Qi Physical Therapy Rehabilitation PLLC Acupuncturist CurrentSince Nov 15, 2024 Accepting new patients
Dai Acupuncture PC Acupuncturist Current Accepting new patients

Locations

257 W 94th St
New York, NY 10025
Phone (212) 662-8882

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1114497591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13320 41ST RD APT 3A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553372",
            "telephone_number": "929-989-1888",
            "fax_number": "516-888-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13320 41ST RD APT 3A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553372",
            "telephone_number": "929-989-1888",
            "fax_number": "516-888-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QI",
        "first_name": "SUSAN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006385",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XIAOSHAN",
            "last_name": "DAI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; 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.

Verify at the official NPI Registry.