MAGON LIU (DPT) – Physical Therapist, NPI 1003774373

MAGON LIU (DPT) is a healthcare provider. based in Berkeley, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for MAGON LIU (DPT) is 1003774373

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MAGON LIU (DPT)
NPI
1003774373
Phone
(510) 644-8031
Address
PO BOX 253
Enumeration Date
14 January 2026
Last Update Date
14 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5106448031
Graduation Year
2025 (1 year ago)
PAC ID
7618459579
Group Practice PAC ID
3173792538
Professional Enrollment ID
I20260302000541
Address ID
CA947041443BE2041XWAYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness85
Years active:0State licenses:0Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for MAGON LIU (DPT)

  • PO BOX 253

    BERKELEY, CA 947010253

    Phone: (510) 644-8031

    Fax: (510) 644-8036

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260302000541IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173792538View full group profile
NameSpecialtyState
-CA
-CA
Physical Therapist In Private PracticeCA
-VT
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
-CA

Reviews

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Frequently asked questions

Does MAGON LIU (DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MAGON LIU (DPT) uses 1003774373.
Can I rely on MAGON LIU (DPT) being an active provider?
As of the registry snapshot, MAGON LIU (DPT) is marked active.
What taxonomy line describes MAGON LIU (DPT)?
For research purposes, treat MAGON LIU (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MAGON LIU (DPT)?
MAGON LIU (DPT)'s geographic hint is Berkeley, California in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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