Individual provider Active NPI

Lu Han, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1982835039
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031568 Issued in NY
Practice address
517 Bay Ridge Pkwy
Brooklyn, NY 11209
Phone
(718) 569-9954
Fax
(347) 694-8954
NPI assigned
Aug 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 002120 NY
Physical Therapist 225100000X 031568 NY Primary

Addresses

Primary practice location

517 Bay Ridge Pkwy
Brooklyn, NY 11209

Mailing address

1406 73Rd St
Brooklyn, NY 11228-2112
Phone (718) 908-8270

Other practice location 1

849 57th St Ste 8
Brooklyn, NY 11220-3798
Phone (718) 908-8270

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090924000010 NY Practitioner - Physical Therapist in Private Practice 9931255643 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

517 Bay Ridge Pkwy
Brooklyn, NY 11209-3309
Phone (718) 908-8270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002120NYMDAthletic Trainer
031568NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Han Physical Therapy & Acupuncture PC Acupuncturist CurrentSince Jul 13, 2011 Accepting new patients

Locations

849 57th St
Ste 8
Brooklyn, NY 11220
Phone (718) 576-6882

7216 18th Ave
#1
Brooklyn, NY 11204
Phone (718) 908-8270

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1982835039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 73RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282112",
            "telephone_number": "718-908-8270",
            "fax_number": "347-694-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11209",
            "telephone_number": "718-569-9954",
            "fax_number": "347-694-8954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "849 57th St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112203798",
            "country_code": "US",
            "telephone_number": "718-908-8270",
            "fax_number": "347-694-8954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "LU",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002120",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.