Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peter Ly

Individual provider Physical Therapist · NPI 1841880424

Peter Ly is a Physical Therapist in Private Practice in Philadelphia, Pennsylvania. Qualified in 2020, 6 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2069 Mercy St
Philadelphia, PA 19145-2806
Phone: (267) 269-9288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1843 E Passyunk Ave, Philadelphia, PA 19148-2127 — (267) 551-3464

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT029077 (PA)
Physical Therapist Taxonomy 225100000X · Licence PT029077 (PA)

Record details

NPI number1841880424
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 19, 2021
Last updated in NPPESMay 19, 2022
Certification dateMay 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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