Organization Active NPI

CHL Rehab LLC

  • Physical Therapist
  • Mineola, NY
National Provider Identifier
1790144285
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
036145 Issued in NY
Legal business name
CHL REHAB LLC
Practice address
432 1St St
Mineola, NY 11501-3616
Phone
(201) 213-3939
NPI assigned
Feb 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Changhun Lee
Title
President
Phone
(201) 213-3939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 036145 NY Primary

Addresses

Primary practice location

432 1St St
Mineola, NY 11501-3616

Mailing address

432 1St St
Mineola, NY 11501-3616
Phone (201) 213-3939

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1790144285",
    "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": "115013616",
            "telephone_number": "201-213-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 1ST ST",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013616",
            "telephone_number": "201-213-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHANGHUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-213-3939"
    },
    "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 Feb 12, 2016; 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.