DR. SIMON JINHUNG LI PT
NPI 1003423179
Physical Therapist in Everett, WA
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
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- 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.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Simon Li reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bothell, WA 98021
- Reassigned Medicare billing, Washington enrollment
- 1,074 clinicians in this Medicare group
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 2,678 clinicians in this Medicare group
Seattle, WA 98101
- Reassigned Medicare billing, Washington enrollment
- 663 clinicians in this Medicare group
Bellevue, WA 98006
- Reassigned Medicare billing, Washington enrollment
- 286 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
EVERETT, WA 98204
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.
Which organizations bill Medicare for Simon Li's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Simon Li reassigns Medicare benefits to 4 organizations: King County Public Hospital District No 2 (Bothell, WA), Kaiser Foundation Health Plan Of Washington (Everett, WA), Swedish Health Services (Seattle, WA) and Washington Luna Care Physical Therapy LLC (Bellevue, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Simon Li's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Simon Jinhung Li, PT · NPI 1003423179
Physical Therapist provider in Everett, Washington. Individual provider, active in the CMS NPPES registry since September 23, 2020.
## Identity
- **NPI:** 1003423179 (Entity type: Individual)
- **Enumerated:** September 23, 2020
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** PT61086305 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 13410 HIGHWAY 99 STE 204, Everett, WA 98204-5454
- **Phone:** (425) 742-7300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): King County Public Hospital District No 2 (NPI 1902907165, Bothell, WA); Kaiser Foundation Health Plan Of Washington (NPI 1386935351, Everett, WA); Swedish Health Services (NPI 1073553947, Seattle, WA); Washington Luna Care Physical Therapy LLC (NPI 1346808052, Bellevue, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1003423179) · Data from the CMS NPPES public registry.