Sung Li, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LMT-25161 Issued in OR

Practice address

651 High St NE Ste 110
Salem, OR 97301-2490

Phone

(503) 689-6658

NPI assigned

Aug 3, 2022

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Bamboo Garden One LLC

  • Massage Therapist
  • Salem, OR
  • NPI 1588371439
  NPD Authorized official
• Bamboo Garden Two LLC

  • Massage Therapist
  • Keizer, OR
  • NPI 1548041494
  NPD Authorized official

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1922735547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 36TH AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014740",
            "telephone_number": "707-592-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 HIGH ST NE STE 110",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012490",
            "telephone_number": "503-689-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "SUNG",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "LMT-25161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lexi Gross Counseling PLLC
• Biao Li, D.D.S.
• Cameron Xun Li, LAC
• Jenna Leann Li, LPC, CADC I
• Shangjian Li
• Bushra Liaqat, DDS
• Liberty Dental Care PC
• Liberty Denture Clinic, LLC
• Liberty House
• Liberty Mental Health Clinic

• Massage Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.