Active NPI
Edward Liu, DPT
- Ergonomics Physical Therapist
- Tampa, FL
National Provider Identifier
1609249861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ergonomics Physical Therapist
- License
- 30771
- Practice address
- 1220 S Dale Mabry Hwy Ste 101
Tampa, FL 33629-5019 - Phone
- (813) 253-3092
- Fax
- (813) 259-9516
- NPI assigned
- Nov 9, 2015
- 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 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Human Factors Physical Therapist | 2251H1300X | 30771 | FL | |
| Neurology Physical Therapist | 2251N0400X | 30771 | FL | |
| Pediatric Physical Therapist | 2251P0200X | 30771 | FL | |
| Sports Physical Therapist | 2251S0007X | 30771 | FL | |
| Orthopedic Physical Therapist | 2251X0800X | 30771 | FL | |
| Ergonomics Physical Therapist | 2251E1200X | 30771 | FL | Primary |
| Physical Therapist | 225100000X | 30771 | FL | |
| Cardiopulmonary Physical Therapist | 2251C2600X | 30771 | FL | |
| Clinical Electrophysiology Physical Therapist | 2251E1300X | 30771 | FL | |
| Geriatric Physical Therapist | 2251G0304X | 30771 | FL | |
| Hand Physical Therapist | 2251H1200X | 30771 | FL |
Addresses
Primary practice location
1220 S Dale Mabry Hwy Ste 101
Tampa, FL 33629-5019
Mailing address
8704 Huntfield St
Tampa, FL 33635-1566
Phone (813) 454-1986
Other practice location 1
27553 Cashford Cir
Wesley Chapel, FL 33544-6911
Phone (813) 973-0110
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 |
|---|---|---|---|
| 30771 | FL | MD | Pediatric Physical Therapist |
Networks
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1609249861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8704 HUNTFIELD ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336351566",
"telephone_number": "813-454-1986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 S DALE MABRY HWY STE 101",
"city": "TAMPA",
"state": "FL",
"postal_code": "336295019",
"telephone_number": "813-253-3092",
"fax_number": "813-259-9516"
}
],
"practiceLocations": [
{
"address_1": "27553 Cashford Cir",
"address_purpose": "LOCATION",
"city": "Wesley Chapel",
"state": "FL",
"postal_code": "335446911",
"country_code": "US",
"telephone_number": "813-973-0110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIU",
"first_name": "EDWARD",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251H1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Human Factors",
"state": "FL",
"license": "30771",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "FL",
"license": "30771",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "FL",
"license": "30771",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "FL",
"license": "30771",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "30771",
"primary": false
},
{
"code": "2251E1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Ergonomics",
"state": "FL",
"license": "30771",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "30771",
"primary": false
},
{
"code": "2251C2600X",
"taxonomy_group": "",
"desc": "Physical Therapist, Cardiopulmonary",
"state": "FL",
"license": "30771",
"primary": false
},
{
"code": "2251E1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": "FL",
"license": "30771",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "FL",
"license": "30771",
"primary": false
},
{
"code": "2251H1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Hand",
"state": "FL",
"license": "30771",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.