Changmin Han, PT, DPT, MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

035675 Issued in NY

Practice address

430 W Merrick Rd Ste 2
Valley Stream, NY 11580-5201

Phone

(929) 544-1029

NPI assigned

Feb 2, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CH Physical Therapy, P.C.

  • Physical Therapist
  • Flushing, NY
  • NPI 1649012030
  Medicare reassignment NPD Authorized official
• Moon Rehab PT PC

  • Physical Therapist
  • Corona, NY
  • NPI 1114388931
  Medicare reassignment NPD
• Greenery Physical Therapy, P.C.

  • Physical Therapist
  • Great Neck, NY
  • NPI 1184430274
  NPD Authorized official

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1124566898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520312",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113520312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W MERRICK RD STE 2",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805201",
            "telephone_number": "929-544-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "CHANGMIN",
        "credential": "PT, DPT, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-02",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fazli A Halimi
• Sheryl-Ann Hall, RN
• Vincent Brian Hall Jr.
• Michelle Halls, RN
• Colette Angela Hamilton, NYCPS,CRPA
• Happy Hour Speech Services PLLC
• Amayna Haque, PHARMD
• Harbor Podiatry,PC
• Peggy Marie Hardy, RN, PMHNP
• Muhammad Haris

• Physical Therapist in Valley Stream, NY
• Providers in Valley Stream, 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 Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.