Individual provider Active NPI

Ching Ly

  • Physical Therapist
  • Alhambra, CA
National Provider Identifier
1962675199
Registry record updated Feb 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34579 Issued in CA
Practice address
41 N Garfield Ave
Ste 102
Alhambra, CA 91801-7501
Phone
(626) 782-7611
Fax
(626) 782-7812
NPI assigned
Apr 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2018

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 PT34579 CA Primary

Addresses

Primary practice location

41 N Garfield Ave
Ste 102
Alhambra, CA 91801-7501

Mailing address

41 N Garfield Ave
Ste 102
Alhambra, CA 91801-7501
Phone (626) 782-7611

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080505000689 CA Practitioner - Physical Therapist in Private Practice 0345329124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
B and C Physical Therapy IncGroup PAC ID 8224391230, 5 clinicians

Practice addresses (Care Compare)

41 N Garfield Ave
Suite 102
Alhambra, CA 91801-7501
Phone (626) 782-7611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34579CAMDClinical Psychologist
PT34579CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
B & C Physical Therapy, Inc. Physical Therapist CurrentSince Dec 4, 2017 Accepting new patients
Total Body Center Inc Physical Therapist PastSince Mar 1, 2018 Accepting new patients
Huntington Rehabilitation Medicine Associates Physical Therapist Past Accepting new patients

Locations

41 N Garfield Ave
Ste 102
Alhambra, CA 91801
Phone (626) 282-1988

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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518307200000",
    "number": "1962675199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 N GARFIELD AVE",
            "address_2": "STE 102",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017501",
            "telephone_number": "626-782-7611",
            "fax_number": "626-782-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 N GARFIELD AVE",
            "address_2": "STE 102",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017501",
            "telephone_number": "626-782-7611",
            "fax_number": "626-782-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "CHING",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2018-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2018; 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.