Individual provider Active NPI

Yajing Liu, DPT

  • Physical Therapist
  • Monterey, CA
National Provider Identifier
1124560008
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT291817 Issued in CA
Practice address
21 Lower Ragsdale Dr
Monterey, CA 93940-5827
Phone
(831) 264-6040
Fax
(831) 375-8007
NPI assigned
Nov 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT291817 CA Primary

Addresses

Primary practice location

21 Lower Ragsdale Dr
Monterey, CA 93940-5827

Mailing address

166 Evans Ave
Pacific Grove, CA 93950-3051
Phone (412) 889-8641

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161223000208 CA Practitioner - Physical Therapist in Private Practice 8527349935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Physical Therapy and FitnessGroup PAC ID 9234435215, 11 clinicians

Practice addresses (Care Compare)

8030 Soquel Ave
Suite 200
Santa Cruz, CA 95062-2096
Phone (831) 464-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT291817CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monterey Spine & Joint PC CurrentSince Aug 1, 2021 Accepting new patients
Precision Physical Therapy & Fitness Physical Therapist CurrentSince Oct 5, 2021 Accepting new patients
Monterey Spine & Joint PC CurrentSince Aug 1, 2021 Accepting new patients
Montage Surgical Group Past Accepting new patients
Precision Physical Therapy & Fitness Physical Therapist Past Accepting new patients

Locations

12 Upper Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6060

21 Lower Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6040

8030 Soquel Ave
Ste 200
Santa Cruz, CA 95062
Phone (831) 464-8200

269 Mount Hermon Rd
Ste 204
Scotts Valley, CA 95066
Phone (831) 464-8200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1124560008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 EVANS AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939503051",
            "telephone_number": "412-889-8641",
            "fax_number": "831-375-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LOWER RAGSDALE DR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405827",
            "telephone_number": "831-264-6040",
            "fax_number": "831-375-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "YAJING",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT291817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.