Provider Demographics
NPI:1205581238
Name:LI, THOMAS FENG (DPT)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:FENG
Last Name:LI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4226 NE 88TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-3827
Mailing Address - Country:US
Mailing Address - Phone:413-262-6617
Mailing Address - Fax:
Practice Address - Street 1:114 ALASKAN WAY S APT 505
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2585
Practice Address - Country:US
Practice Address - Phone:206-487-3391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61158250225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist