Active NPI
Siu Ling Lui, DPT
- Physical Therapist
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60258157
- Practice address
- 4730 Colby Ave, PMG Physical Therapy
Suite 220
Everett, WA 98203 - Phone
- (206) 667-3000
- Fax
- (206) 667-2273
- NPI assigned
- Jun 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60258157 | WA | Primary |
Addresses
Primary practice location
4730 Colby Ave, PMG Physical Therapy
Suite 220
Everett, WA 98203
Mailing address
PMG Physical Therapy
4730 Colby Ave Suite 220
Everett, WA 98203
Phone (425) 297-6888
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Premisehealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4112 Harbour Pointe Blvd SW
Suite 100
Mukilteo, WA 98275-5457
Phone (425) 347-6330
4730 Colby Ave
Suite 220
Everett, WA 98203-2927
Phone (425) 297-6888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60258157 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services- Washington | Physical Therapist | Current | Accepting new patients |
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Providence Health & Services - Washington | Past | Accepting new patients |
Locations
1321 Colby Ave
Ofc
Everett, WA 98201
Phone (425) 261-4076
4730 Colby Ave
Ste 220
Everett, WA 98203
Phone (206) 667-3000
4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330
Organizations & group practices 3
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.
-
- General Practice Physician
- Everett, WA
- NPI 1124270715
Physical Therapist
-
- Family Medicine Physician
- Mill Creek, WA
- NPI 1790014504
-
- General Practice Physician
- Everett, WA
- NPI 1013169507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1881956035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMG PHYSICAL THERAPY",
"address_2": "4730 COLBY AVE SUITE 220",
"city": "EVERETT",
"state": "WA",
"postal_code": "98203",
"telephone_number": "425-297-6888",
"fax_number": "425-216-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4730 COLBY AVE, PMG PHYSICAL THERAPY",
"address_2": "SUITE 220",
"city": "EVERETT",
"state": "WA",
"postal_code": "98203",
"telephone_number": "206-667-3000",
"fax_number": "206-667-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUI",
"first_name": "SIU LING",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-13",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60258157",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Premisehealth.com",
"affiliation": "N",
"endpointDescription": "Health Clinic",
"address_1": "1100 Fairview Ave N # Me-B220",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981094433",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.