Active NPI
Tony Li, DPT
- Physical Therapist
- Jersey City, NJ
National Provider Identifier
1457691198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 035677-1
- Practice address
- 96 Coles St Apt 3
Jersey City, NJ 07302-2144 - Phone
- (917) 292-0193
- NPI assigned
- Feb 17, 2013
- Last updated
- Dec 28, 2020
- Sex
- Male
- 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 | 035677-1 | NY | Primary |
Addresses
Primary practice location
96 Coles St Apt 3
Jersey City, NJ 07302-2144
Mailing address
96 Coles St Apt 3
Jersey City, NJ 07302-2144
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035677-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Physical Therapy Solutions P.C. | Physical Therapist | Current | Accepting new patients |
| Bravo Occupational Therapy PC | Physical Therapist | Past | Accepting new patients |
| Sovereign Medical Group LLC | Past | Accepting new patients |
Locations
111 W Old Country Rd
Unit 1
Hicksville, NY 11801
Phone (516) 433-4570
1865 Amsterdam Ave
Lowr
New York, NY 10031
Phone (212) 567-5191
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Lynbrook, NY
- NPI 1730415431
-
- Urology Physician
- Oradell, NJ
- NPI 1710282082
-
- Occupational Therapist
- Hicksville, NY
- NPI 1194448449
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1457691198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 COLES ST APT 3",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073022144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 COLES ST APT 3",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073022144",
"telephone_number": "917-292-0193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "TONY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-17",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "035677-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.