Hanwol Physical Therapy P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

037556 Issued in NY

Legal business name

HANWOL PHYSICAL THERAPY P.C.

Practice address

3901 Main St
Suite 309
Flushing, NY 11354-5432

Phone

(917) 563-1373

Fax

(646) 786-4826

NPI assigned

May 1, 2017

Last updated

Jun 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jiho NohNPI 1982152823

Title

PT/DPT

Phone

(917) 250-0391

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jiho Noh, PT

  • Physical Therapist
  • Flushing, NY
  • NPI 1982152823
  Medicare reassignment Authorized official
• Jason Szepok Kong, D.O

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
  • NPI 1609069715
  NPD
• Wing Hong Chan, P.T.

  • Physical Therapist
  • Flushing, NY
  • NPI 1316151244
  NPD (past)
• Kaman Chong, D.O.

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1194742742
  NPD (past)
• Miyoung Park

  • Physical Therapist
  • Flushing, NY
  • NPI 1548929631
  NPD (past)

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1073049714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 MAIN ST",
            "address_2": "SUITE 309",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545432",
            "telephone_number": "917-250-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MAIN ST",
            "address_2": "SUITE 309",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545432",
            "telephone_number": "917-563-1373",
            "fax_number": "646-786-4826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6308 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113773642",
            "country_code": "US",
            "telephone_number": "718-255-1685",
            "fax_number": "718-228-7139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HANWOL PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "NOH",
        "authorized_official_first_name": "JIHO",
        "authorized_official_title_or_position": "PT/DPT",
        "authorized_official_telephone_number": "917-250-0391"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.