Active NPI
CH Physical Therapy, P.C.
- Physical Therapist
- Flushing, NY
National Provider Identifier
1649012030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- CH PHYSICAL THERAPY, P.C.
- Practice address
- 13630 Maple Ave Ste 2G
Flushing, NY 11355-3867 - Phone
- (917) 213-3287
- NPI assigned
- Jun 7, 2024
- Last updated
- Jun 7, 2024
- 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
- Changmin Han, PT, DPT, MS
- Title
- Owner
- Phone
- (917) 213-3287
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
13630 Maple Ave Ste 2G
Flushing, NY 11355-3867
Mailing address
PO Box 520312
Flushing, NY 11352-0312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13630 Maple Ave
Ste 2G
Flushing, NY 11355
Phone (347) 368-6799
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Valley Stream, NY
- NPI 1124566898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717718400000",
"number": "1649012030",
"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": "13630 MAPLE AVE STE 2G",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553867",
"telephone_number": "917-213-3287"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CH PHYSICAL THERAPY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-07",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"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": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.