Lydia Grace Li

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

28386 Issued in MD

Practice address

7811 Montrose Rd Ste 350
Potomac, MD 20854-3359

Phone

(301) 417-8283

Fax

(301) 417-8306

NPI assigned

Dec 14, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other names 1

• Miss Lydia Grace Nitchman Former name

Medicare fee-for-service enrollment

Enrolled in DC, TX2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Liberty Rehabilitation Specialists IncGroup PAC ID 7012907033, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Liberty Rehabilitation Specialists Inc

  • Physical Therapist
  • San Antonio, TX
  • NPI 1912939414
  Medicare reassignment Care Compare group NPD
• Potomac Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Potomac, MD
  • NPI 1174079321

  DC

  Medicare reassignment NPD
• Liberty Rehabilitation Specialists Inc

  • Physical Therapist
  • San Antonio, TX
  • NPI 1649295775
  NPD

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1740655919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13006 FREELAND RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208533031",
            "telephone_number": "347-622-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 MONTROSE RD STE 350",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543359",
            "telephone_number": "301-417-8283",
            "fax_number": "301-417-8306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1053 W Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Mamaroneck",
            "state": "NY",
            "postal_code": "105433329",
            "country_code": "US",
            "telephone_number": "914-381-0203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5454 Wisconsin Ave Ste 845",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208156948",
            "country_code": "US",
            "telephone_number": "301-907-2437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "LYDIA",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039664",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28386",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MD",
            "license": "28386",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "28386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "NITCHMAN",
            "middle_name": "GRACE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laurence Raymond Levine, PSY.D.
• Dawn Levinson, LMSW
• Lawrence Michael Levinson, M.D.
• Cara Larkin Lewis-Roy, ATC
• Michael David Lewis, MD
• Ping Li, MD
• Xiaoming Li
• Christopher Liang, DDS
• Donald Vincent Liang, DDS
• Lifespan Communication & Development Services

• Orthopedic Physical Therapist in Potomac, MD
• Providers in Potomac, MD by specialty
• Orthopedic Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.