Active NPI
Manting Li
- Physical Therapist
- Bedford, MA
National Provider Identifier
1417543083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25091
- Practice address
- 200 Springs Rd
Bedford, MA 01730-1114 - Phone
- (781) 687-2000
- NPI assigned
- Dec 17, 2020
- 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 Therapist | 225100000X | 25091 | MA | Primary |
Addresses
Primary practice location
200 Springs Rd
Bedford, MA 01730-1114
Mailing address
90 Sprague St
Dedham, MA 02026-6331
Phone (857) 544-1813
Other practice location 1
186 Highland Ave
Somerville, MA 02143-1507
Phone (617) 776-4420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25091 | Other | MA | LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25091 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1417543083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 SPRAGUE ST",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020266331",
"telephone_number": "857-544-1813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SPRINGS RD",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017301114",
"telephone_number": "781-687-2000"
}
],
"practiceLocations": [
{
"address_1": "186 Highland Ave",
"address_purpose": "LOCATION",
"city": "Somerville",
"state": "MA",
"postal_code": "021431507",
"country_code": "US",
"telephone_number": "617-776-4420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LI",
"first_name": "MANTING",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-17",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "25091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "25091",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.