Active NPI
CHL Physical Therapy of Li PC
- Physical Therapist
- Mineola, NY
National Provider Identifier
1245767979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 036145
- Legal business name
- CHL PHYSICAL THERAPY OF LI PC
- Practice address
- 432 1St St
Mineola, NY 11501 - Phone
- (347) 659-4810
- NPI assigned
- May 12, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Changhun Lee
- Title
- President
- Phone
- (347) 659-4810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 036145 | NY | Primary |
Addresses
Primary practice location
432 1St St
Mineola, NY 11501
Mailing address
432 1St St
Mineola, NY 11501
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494547200000",
"number": "1245767979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 1ST ST",
"city": "MINEOLA",
"state": "NY",
"postal_code": "11501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 1ST ST",
"city": "MINEOLA",
"state": "NY",
"postal_code": "11501",
"telephone_number": "347-659-4810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHL PHYSICAL THERAPY OF LI PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-12",
"last_updated": "2017-05-12",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "CHANGHUN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-659-4810"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "036145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.