Healthcare Provider Details

I. General information

NPI: 1215868740
Provider Name (Legal Business Name): CHIEN-MING LIAO PHYSICAL THERAPY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9020 52ND AVE
ELMHURST NY
11373-4004
US

IV. Provider business mailing address

9020 52ND AVE
ELMHURST NY
11373-4004
US

V. Phone/Fax

Practice location:
  • Phone: 217-904-4593
  • Fax:
Mailing address:
  • Phone: 217-904-4593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. CHIEN-MING LIAO
Title or Position: PRESIDENT
Credential: PT, DPT
Phone: 217-904-4593