Healthcare Provider Details

I. General information

NPI: 1568981835
Provider Name (Legal Business Name): WEIYI LIU PT, DPT, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2017
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 JORALEMON ST # 8DEF
BROOKLYN NY
11201-4747
US

IV. Provider business mailing address

142 JORALEMON ST STE 8DEF
BROOKLYN NY
11201-4747
US

V. Phone/Fax

Practice location:
  • Phone: 646-725-7874
  • Fax:
Mailing address:
  • Phone: 917-347-0960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number007270
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number042150
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: