Active NPI
Linh Ly
- Physical Therapy Assistant
- Grand Rapids, MI
National Provider Identifier
1144139288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5502008605
- Practice address
- 2100 Raybrook St SE Ste 303
Grand Rapids, MI 49546-5783 - Phone
- (616) 460-3834
- NPI assigned
- Sep 3, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502008605 | MI | Primary |
Addresses
Primary practice location
2100 Raybrook St SE Ste 303
Grand Rapids, MI 49546-5783
Mailing address
155 Westown Dr NW Apt 302
Grand Rapids, MI 49534-3713
Phone (302) 559-1874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1144139288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 WESTOWN DR NW APT 302",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495343713",
"telephone_number": "302-559-1874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 RAYBROOK ST SE STE 303",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495465783",
"telephone_number": "616-460-3834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "LINH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "5502008605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.