Individual provider Active NPI

Siu Ling Lui, DPT

  • Physical Therapist
  • Everett, WA
National Provider Identifier
1881956035
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60258157 Issued in WA
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

Updated by the provider on Aug 5, 2021

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 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

TypeEndpointUseAffiliation
CONNECT URL Premisehealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200406003227 WA Practitioner - Physical Therapist in Private Practice 0840629234 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
PT60258157WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington Physical Therapist CurrentSince Feb 29, 2020 Accepting new patients
Providence Health & Services- Washington CurrentSince Feb 29, 2020 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.

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.

Verify at the official NPI Registry.