Individual provider Active NPI

Chung Kay Li, P.A.; RPT

  • Physical Therapist
  • Delano, CA
National Provider Identifier
1285931782
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8718 Issued in CA
Practice address
1004 14TH Ave
Delano, CA 93215-2246
Phone
(661) 474-2600
Fax
(661) 474-2600
NPI assigned
Feb 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA15269 CA
Physical Therapist 225100000X PT8718 CA Primary

Addresses

Primary practice location

1004 14TH Ave
Delano, CA 93215-2246

Mailing address

PO Box 1484
Bakersfield, CA 93302-1484
Phone (951) 368-8308

Other names 1

  • Mr. Walter Chung Kay Li Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170419000926 CA Practitioner - Physical Therapist in Private Practice 8022307214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1109 High St
Suite a
Delano, CA 93215-1708
Phone (661) 474-2600

8841 Garvey Ave
Rosemead, CA 91770-3358
Phone (626) 716-9882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT8718CAMDPhysical Therapist
15269CAMDOccupational Therapist
8718CAMDOccupational Therapist
PA15269CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Dynamic Management LLC Current Accepting new patients
Lai NA Tung Physical Therapist CurrentSince Sep 8, 2016 Accepting new patients
CCLT Management LLC Current Accepting new patients

Locations

1004 14th Ave
Delano, CA 93215
Phone (559) 295-8517

1109 High St
Ste A
Delano, CA 93215
Phone (661) 474-2600

623 Main St
Delano, CA 93215
Phone (661) 474-2600

8841 Garvey Ave
#C
Rosemead, CA 91770
Phone (626) 716-9882

Organizations & group practices 3

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": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1285931782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1484",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021484",
            "telephone_number": "951-368-8308",
            "fax_number": "661-792-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 14TH AVE",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932152246",
            "telephone_number": "661-474-2600",
            "fax_number": "661-474-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "CHUNG",
        "middle_name": "KAY",
        "name_prefix": "Mr.",
        "credential": "P.A.; RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-17",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15269",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT8718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WALTER",
            "last_name": "LI",
            "middle_name": "CHUNG KAY",
            "prefix": "MR.",
            "credential": "PA, RPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Delano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.