KENNY LIU PT
NPI 1215694377
Physical Therapist in Roseville, CA

Active since November 23, 2021
1600 EUREKA RD, ROSEVILLE, CA 95661(916) 784-4082 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2022, Nov 23, 2021 (2 updates tracked since 2021).

About Kenny Liu Pt NPPES

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

KENNY LIU PT (NPI 1215694377) is an individual physical therapist in Roseville, California, licensed in California (PT297214) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1215694377
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameKENNY LIUCredential: PT
Location Address1600 EUREKA RDRoseville, CA 95661-3027
Mailing Address1600 Eureka RdRoseville, CA 95661-3027 · (916) 784-4082
Sole ProprietorNo
Enumeration DateNovember 23, 2021
Last NPPES UpdateMay 31, 20222 updates tracked since enumeration
NPPES CertifiedMay 31, 2022
✔ NPI 1215694377 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 CA · PT297214
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:
  • 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.
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.
1600 EUREKA RD, Roseville, CA 95661

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenny Liu Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kenny Liu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 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.

Other Providers at the Same Location NPPES 20

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

Urology
1600 EUREKA RD
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Physical Therapist
1600 EUREKA RD
ROSEVILLE, CA 95661
Hospitalist
1600 EUREKA RD
ROSEVILLE, CA 95661
Internal Medicine
1600 EUREKA RD
ROSEVILLE, CA 95661
Nurse Practitioner (Women's Health)
1600 EUREKA RD, WOMEN'S HEALTH , PERMANENTE MEDICAL GROUP
ROSEVILLE, CA 95661
Pediatrics (Pediatric Hematology-Oncology)
1600 EUREKA RD
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661

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 Kenny Liu's NPI number?

The NPI number for Kenny Liu is 1215694377. It was assigned to this individual provider in the NPPES registry on November 23, 2021.

Where is Kenny Liu located?

Kenny Liu practices at 1600 Eureka Rd, Roseville, CA 95661. The listed phone number is (916) 784-4082.

What is Kenny Liu's specialty?

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

Is Kenny Liu enrolled in Medicare?

Yes. Kenny Liu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenny Liu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenny Liu reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Kenny Liu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenny Liu was last updated on May 31, 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.