Individual provider Active NPI

Seungyoung Han, PT

  • Physical Therapist
  • Bayside, NY
National Provider Identifier
1134767197
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4324 215TH St FL 1
Bayside, NY 11361-2973
Phone
(516) 537-9639
Fax
(516) 985-7850
NPI assigned
Dec 19, 2019
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 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
I20210309001360 NY Practitioner - Physical Therapist in Private Practice 5395159487 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SH Physical Therapy PC Single Specialty CurrentSince Oct 29, 2023 Accepting new patients
Ability HR Hand Therapy, OT and PT PLLC Single Specialty CurrentSince Feb 15, 2022 Accepting new patients

Locations

813 Quentin Rd
Ste 106
Brooklyn, NY 11223
Phone (718) 627-8100

7161 159th St
Fresh Meadows, NY 11365
Phone (718) 303-8323

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1134767197",
    "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": {
        "last_name": "HAN",
        "first_name": "SEUNGYOUNG",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-19",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "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.