MICHELLE LI PT
NPI 1417874934
Physical Therapist in San Rafael, CA

Active since July 06, 2026
1650 LOS GAMOS DR, SAN RAFAEL, CA 94903(415) 444-2000 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michelle Li Pt NPPES

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

MICHELLE LI PT (NPI 1417874934) is an individual physical therapist in San Rafael, California, licensed in California (310416) and active in the NPI registry since July 2026. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1417874934
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMICHELLE LICredential: PT
Location Address1650 LOS GAMOS DRSan Rafael, CA 94903-1838
Mailing Address235 Agate WayHercules, CA 94547-1750
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 6, 2026
NPPES CertifiedJuly 5, 2026
✔ NPI 1417874934 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 · 310416
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.
1650 LOS GAMOS DR, San Rafael, CA 94903

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3870052855
PECOS Enrollment IDI20260829000454

Medicare Billing Reassignment

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

Internal Medicine
901 NEVIN
Richmond, CA 94801
  • 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.

Family Medicine
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Occupational Therapist
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Pediatrics
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Physical Therapist
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Pharmacist
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Physical Therapist
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Family Medicine
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Physical Therapist
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903

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 Michelle Li's NPI number?

The NPI number for Michelle Li is 1417874934. It was assigned to this individual provider in the NPPES registry on July 6, 2026.

Where is Michelle Li located?

Michelle Li practices at 1650 Los Gamos Dr, San Rafael, CA 94903. The listed phone number is (415) 444-2000.

What is Michelle Li's specialty?

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

Is Michelle Li enrolled in Medicare?

Yes. Michelle Li is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michelle Li's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Li reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, 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 Michelle Li'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 Michelle Li was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.