Greenery Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GREENERY PHYSICAL THERAPY, P.C.

Practice address

1 Barstow Rd Ste P14
Great Neck, NY 11021-3510

Phone

(917) 213-3287

NPI assigned

Dec 4, 2024

Organization subpart

No

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

Authorized official

Name

Changmin Han, PT, DPT, MSNPI 1124566898

Title

Owner

Phone

(917) 213-3287

Specialties & licenses 1

Addresses

Practitioners 1

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

• Changmin Han, PT, DPT, MS

  • Physical Therapist
  • Valley Stream, NY
  • NPI 1124566898
  NPD Authorized official

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1184430274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BLUE SLIP APT 12B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112227294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARSTOW RD STE P14",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213510",
            "telephone_number": "917-213-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENERY PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "CHANGMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-213-3287",
        "authorized_official_credential": "PT, DPT, MS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lance Greenbaum, DDS
• Andrew Scott Greenberg, M.D.
• Burt M Greenberg, MD
• Joan Petralia Greenberg, LCSW
• Jill Greene
• Lisa Dawn Greenfield
• Marc Lehrer Greenwald, MD
• Christina Gregoriou, OTR/L
• Lance I Greiff, DPM
• Gwen R. Grenard, LCSW-R

• Physical Therapist in Great Neck, NY
• Providers in Great Neck, 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 Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.