Individual provider Active NPI

Hogyun Han, DPT

  • Physical Therapist
  • Suwanee, GA
National Provider Identifier
1871337360
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017154 Issued in GA
Practice address
80 Horizon Dr Ste 304B
Suwanee, GA 30024-7740
Phone
(470) 862-0151
NPI assigned
Jun 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017154 GA Primary

Addresses

Primary practice location

80 Horizon Dr Ste 304B
Suwanee, GA 30024-7740

Mailing address

3430 Fox Hollow Way
Suwanee, GA 30024-1096
Phone (762) 303-0915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240819001525 GA Practitioner - Physical Therapist in Private Practice 7719425032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kwon Physical Therapy LLCGroup PAC ID 0941688311, 6 clinicians

Practice addresses (Care Compare)

3473 Satellite Blvd
Suite 108N
Duluth, GA 30096-8690
Phone (470) 550-1271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kwon Physical Therapy LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
J & J Physical Therapy LLC CurrentSince Jul 1, 2024 Accepting new patients
Fit in Motion TN LLC Physical Therapist PastSince Jan 1, 2025 Accepting new patients

Locations

3473 Satellite Blvd
Ste 108N
Duluth, GA 30096
Phone (470) 550-1271

80 Horizon Dr
Ste 304B
Suwanee, GA 30024
Phone (470) 680-4887

3420 Paddocks Pkwy
Suwanee, GA 30024
Phone (470) 295-6262

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": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1871337360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 FOX HOLLOW WAY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241096",
            "telephone_number": "762-303-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HORIZON DR STE 304B",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247740",
            "telephone_number": "470-862-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "HOGYUN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.