Individual provider Active NPI

Chienming Liao

  • Physical Therapist
  • New York, NY
National Provider Identifier
1982139309
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041353 Issued in NY
Practice address
57 W 57TH St Ste 603
New York, NY 10019-2810
Phone
(212) 757-1333
Fax
(212) 757-6333
NPI assigned
Apr 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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 041353 NY Primary

Addresses

Primary practice location

57 W 57TH St Ste 603
New York, NY 10019-2810

Mailing address

57 W 57TH St Ste 603
New York, NY 10019-2810
Phone (212) 757-1333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200701001607 NY Practitioner - Physical Therapist in Private Practice 9638592116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Pittsburgh School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Directions Physical Therapy and Acupuncture PLLCGroup PAC ID 1254753833, 3 clinicians

Practice addresses (Care Compare)

57 W 57TH St
Suite 603
New York, NY 10019-2815
Phone (212) 757-1333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041353NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kellen Ryan Scantlebury Physical Therapy PLLC Physical Therapist CurrentSince Jan 16, 2025 Accepting new patients

Locations

153 W 27th St
Ste 1204
New York, NY 10001
Phone (646) 875-8348

Organizations & group practices 2

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": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1982139309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST STE 603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192810",
            "telephone_number": "212-757-1333",
            "fax_number": "212-757-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST STE 603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192810",
            "telephone_number": "212-757-1333",
            "fax_number": "212-757-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAO",
        "first_name": "CHIENMING",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-24",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041353",
            "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 27, 2020; 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.