Organization Active NPI

Han Rehabilitation Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Bayside, NY
National Provider Identifier
1033711338
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HAN REHABILITATION PHYSICAL THERAPY PC
Practice address
4324 215TH St FL 1
Bayside, NY 11361-2973
Phone
(516) 537-9639
Fax
(516) 985-7850
NPI assigned
Nov 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Seungyoung HanNPI 1134767197
Title
President
Phone
(646) 691-6447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4324 215TH St FL 1
Bayside, NY 11361-2973

Mailing address

4324 215TH St FL 1
Bayside, NY 11361-2973
Phone (516) 537-9639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210220000001 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577977669 Receives reassigned benefits from 1 practitioner
Practice locations: Bayside, NY; Flushing, NY

National Provider Directory

National Provider Directory

Locations

3502 150th Pl
#1
Flushing, NY 11354
Phone (347) 368-6691

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1033711338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 215TH ST FL 1",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612973",
            "telephone_number": "516-537-9639",
            "fax_number": "516-985-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 215TH ST FL 1",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612973",
            "telephone_number": "516-537-9639",
            "fax_number": "516-985-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAN REHABILITATION PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "SEUNGYOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-691-6447"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.