Vicki Li, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40696 Issued in FL

Practice address

1400 SE Goldtree Dr Ste 205
Port Saint Lucie, FL 34952-7583

Phone

(772) 335-7966

NPI assigned

May 13, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Premier Physical Therapy Sport Medicine Inc

  • Physical Therapist
  • Port St Lucie, FL
  • NPI 1649380064
  Medicare reassignment NPD
• Premier Physical Therapy & Sports Medicine

  • Physical Therapist
  • Jensen Beach, FL
  • NPI 1265724330
  NPD
• Premier Physical Therapy Sport Medicine Inc

  • Physical Therapist
  • Fort Pierce, FL
  • NPI 1265542682
  NPD
• Premier Physical Therapy Sport Medicine Inc

  • Physical Therapist
  • Port St Lucie, FL
  • NPI 1417067844
  NPD (past)

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1801687538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7296 SE SEAGATE LN",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349972161",
            "telephone_number": "772-285-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SE GOLDTREE DR STE 205",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527583",
            "telephone_number": "772-335-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "VICKI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony B Lewis, M.D.
• Jewell D Lewis
• Lucian Maurice Lewis IV
• Shaun E Leydon
• Dalia Leyva Perez, FNP, APRN
• Frank Liantonio III
• Liberty Medical, LLC
• Brett Lieberman
• Life Long Learning Center 2
• Lifeforce Pediatric Therapy

• Physical Therapist in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.