Individual provider Active NPI

Bernard J Li, DPT, OCS

  • Orthopedic Physical Therapist
  • San Pedro, CA
National Provider Identifier
1336157841
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT29560 Issued in CA
Practice address
1294 West 6TH Street
Suite 101
San Pedro, CA 90732-2997
Phone
(310) 547-1850
Fax
(310) 547-1972
NPI assigned
Aug 3, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT29560 CA Primary

Addresses

Primary practice location

1294 West 6TH Street
Suite 101
San Pedro, CA 90732-2997

Mailing address

1294 West 6TH Street
Suite 101
San Pedro, CA 90732-2997
Phone (310) 547-1850

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

State licenses

LicenseStateTypeSpecialty
PT29560CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Physical Therapy & Sports Medical Orthopedic PastSince Mar 23, 2001 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1336157841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 WEST 6TH STREET",
            "address_2": "SUITE 101",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907322997",
            "telephone_number": "310-547-1850",
            "fax_number": "310-547-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 WEST 6TH STREET",
            "address_2": "SUITE 101",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907322997",
            "telephone_number": "310-547-1850",
            "fax_number": "310-547-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "BERNARD",
        "middle_name": "J",
        "credential": "DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT29560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.