DR. SIMON JINHUNG LI PT
NPI 1003423179
Physical Therapist in Everett, WA

Active since September 23, 2020Accepts Medicare Assignment
93.29/100
CMS Quality Rating
13410 HIGHWAY 99 STE 204, EVERETT, WA 98204(425) 742-7300 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2022, Sep 23, 2020 (2 updates tracked since 2020).

About Dr. Simon Jinhung Li Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SIMON JINHUNG LI PT (NPI 1003423179) is an individual physical therapist in Everett, Washington, licensed in Washington (PT61086305) and active in the NPI registry since September 2020. He is a graduate of Other (2020).

NPPES Registry Identity

NPI1003423179
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. SIMON JINHUNG LICredential: PT
Location Address13410 HIGHWAY 99 STE 204Everett, WA 98204-5454
Mailing Address9811 243rd Pl SwEdmonds, WA 98020-6517 · (650) 303-4596
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 23, 2020
Last NPPES UpdateMay 9, 20222 updates tracked since enumeration
NPPES CertifiedMay 9, 2022
NPI 1003423179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in WA · PT61086305
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

13410 HIGHWAY 99 STE 204, Everett, WA 98204

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Simon Jinhung Li Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274927512
PECOS Enrollment IDI20220302000450

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
90 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.11
Improvement Activities40

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
13410 HIGHWAY 99 STE 204
EVERETT, WA 98204
Clinic/Center (Physical Therapy)
13410 HIGHWAY 99 STE 204
EVERETT, WA 98204
Physical Therapy Assistant
13410 HIGHWAY 99 STE 204
EVERETT, WA 98204
Physical Therapy Assistant
13410 HIGHWAY 99 STE 204
EVERETT, WA 98204
Physical Therapy Assistant
13410 HIGHWAY 99 STE 204
EVERETT, WA 98204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simon Li's NPI number?

The NPI number for Simon Li is 1003423179. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Where is Simon Li located?

Simon Li practices at 13410 Highway 99 Ste 204, Everett, WA 98204. The listed phone number is (425) 742-7300.

What is Simon Li's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Simon Li enrolled in Medicare?

Yes. Simon Li is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Simon Li accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Simon Li as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Simon Li was last updated on May 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.