Individual provider Active NPI

Jessica Hsieh Li, PT, DPT

  • Physical Therapist
  • Tequesta, FL
National Provider Identifier
1407555741
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39909 Issued in FL
Practice address
400 N US Highway 1
Tequesta, FL 33469-2200
Phone
(919) 424-4318
NPI assigned
Feb 27, 2023
Last updated
Dec 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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 PT39909 FL Primary

Addresses

Primary practice location

400 N US Highway 1
Tequesta, FL 33469-2200

Mailing address

7296 SE Seagate LN
Stuart, FL 34997-2161
Phone (772) 285-8727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230327000402 FL Practitioner - Physical Therapist in Private Practice 4981078342 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Florida International Univ, College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

400 N US Hwy 1
Tequesta, FL 33469-2200
Phone (561) 529-2912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39909FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Movement Therapy Center-Boynton Beach Inc Physical Therapist CurrentSince Feb 27, 2023 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Mar 13, 2024 Accepting new patients
Legacy Healthcare Services, Inc Physical Therapist CurrentSince Mar 13, 2024 Accepting new patients
Florida Movement Therapy Center-Boca Raton, LLC Physical Therapist CurrentSince Feb 27, 2023 Accepting new patients
Neuroscience Consultants LLP PastSince Feb 27, 2023 Accepting new patients

Locations

21345 Powerline Rd
Ste 100
Boca Raton, FL 33433
Phone (561) 883-7800

12040 S Jog Rd
Ste 7
Boynton Beach, FL 33437
Phone (561) 733-5083

12040 S Jog Rd
Ste 8
Boynton Beach, FL 33437
Phone (561) 733-5083

2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654

8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979

400 N US Highway 1
Tequesta, FL 33469
Phone (561) 207-6500

38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

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, 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": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1407555741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7296 SE SEAGATE LN",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349972161",
            "telephone_number": "772-285-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N US HIGHWAY 1",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692200",
            "telephone_number": "919-424-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "JESSICA",
        "middle_name": "HSIEH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tequesta, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.