Peter Ly

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT029077 Issued in PA

Practice address

2069 Mercy St
Philadelphia, PA 19145-2806

Phone

(267) 269-9288

NPI assigned

Jan 19, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Itreat Physical Therapy & Wellness Inc

  dba iTreat Physical Therapy & Wellness

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1437895000
  Medicare reassignment NPD Authorized official
• La Fortaleza Physical Therapy Center Inc.

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1285673517
  Medicare reassignment NPD
• Orthopedic and Sports Physical Therapy Services, Inc.

  dba Excel Physical Therapy

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1588661235
  Medicare reassignment NPD
• La Fortaleza Physical Therapy Center Inc

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1457897779
  NPD
• Progress Physical Therapy LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1164851085
  NPD
• La Fortaleza Physical Therapy Inc

  dba La Fortaleza Occupational Therapy

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1609170679
  NPD (past)

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1841880424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 TUSCANY DR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191455729",
            "telephone_number": "267-269-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2069 MERCY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452806",
            "telephone_number": "267-269-9288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1843 E Passyunk Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191482127",
            "country_code": "US",
            "telephone_number": "267-551-3464",
            "fax_number": "267-551-3465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LY",
        "first_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029077",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT029077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chen T Ly, OD
• Jacqueline Huang Ly, APRN
• Justin Alexander Ly, MD
• Lucky Ly, DO
• Mui Tai Ly, O.D.
• Peter Phan Ly
• Quynh Nhu Ly
• Rebecka Ly
• Steven Ly
• Katty Lyamzin, DPT

• Orthopedic Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Orthopedic Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.