Individual provider Active NPI

Simon H Li, DPT

  • Physical Therapist
  • La Jolla, CA
National Provider Identifier
1689332397
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300487 Issued in CA
Practice address
7946 Ivanhoe Ave Ste 110
La Jolla, CA 92037-4516
Phone
(858) 551-8882
NPI assigned
Nov 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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 300487 CA Primary

Addresses

Primary practice location

7946 Ivanhoe Ave Ste 110
La Jolla, CA 92037-4516

Mailing address

2815 Montezuma Ave
Alhambra, CA 91803-4243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220414001171 CA Practitioner - Physical Therapist in Private Practice 0244626448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Washington University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creamer Physical Therapy IncGroup PAC ID 4385800275, 5 clinicians

Practice addresses (Care Compare)

7946 Ivanhoe Ave
Suite 110
La Jolla, CA 92037-4516
Phone (858) 551-8882

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
90
Improvement activities
40
Cost
79.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creamer Physical Therapy Inc. Physical Therapist CurrentSince Apr 8, 2024 Accepting new patients

Locations

7946 Ivanhoe Ave
Ste 110
La Jolla, CA 92037
Phone (858) 551-8882

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1689332397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 MONTEZUMA AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918034243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7946 IVANHOE AVE STE 110",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374516",
            "telephone_number": "858-551-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "SIMON",
        "middle_name": "H",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-30",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; 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.