Individual provider Active NPI

Wayne Wingchin Li, P.T.

  • Physical Therapist
  • New York, NY
National Provider Identifier
1952428732
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023663-1 Issued in NY
Practice address
86 Bowery Street
6 FL
New York, NY 10013-4615
Phone
(212) 219-9197
Fax
(718) 569-0578
NPI assigned
Mar 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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 023663-1 NY Primary

Addresses

Primary practice location

86 Bowery Street
6 FL
New York, NY 10013-4615

Mailing address

22159 Horace Harding Expy FL 2
Oakland Gardens, NY 11364-2320
Phone (917) 951-3953

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111012000323 NY Practitioner - Physical Therapist in Private Practice 1153593330 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

86 Bowery St
6 FL
New York, NY 10013-4615
Phone (212) 219-9197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023663-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiomotion Physical Therapy PLLC Physical Therapist Current Accepting new patients
Petmar Diagnostics LLC PastSince Aug 2, 2020 Accepting new patients
Yun Feng Medical PC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

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": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1952428732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22159 HORACE HARDING EXPY FL 2",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642320",
            "telephone_number": "917-951-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 BOWERY STREET",
            "address_2": "6 FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134615",
            "telephone_number": "212-219-9197",
            "fax_number": "718-569-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "WAYNE",
        "middle_name": "WINGCHIN",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-25",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023663-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.