MEDICARE: CHANGMIN HAN PT, DPT, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	035675	NY

General Provider Information

NPI Number	:	1124566898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANGMIN HAN PT, DPT, MS

Provider Business Mailing Address
First Line	:	PO BOX 520312
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11352-0312
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	430 W MERRICK RD STE 2
Second Line	:
City	:	VALLEY STREAM
State	:	NY
Zip	:	11580-5201
Country	:	US
Telephone Number	:	929-544-1029
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2017
Last Update Date	:	09/26/2022

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1487600854 — CORRESA E WHYTE RD
Practice Location Address:

430 W MERRICK RD , STE 16
VALLEY STREAM, NY
11580-5201

Practice Phone: 516-816-0126
Practice Fax:

1326482845 — MARIA G JOHNSON LCSW
Practice Location Address:

430 W MERRICK RD , SUITE 25
VALLEY STREAM, NY
11580-5201

Practice Phone: 516-451-1258
Practice Fax: 516-285-1616

1013354026 — MARIA JOHNSON
Practice Location Address:

430 W MERRICK RD , SUITE 25
VALLEY STREAM, NY
11580-5201

Practice Phone: 516-451-1258
Practice Fax: 516-285-1616

1255855870 — PRIME LIVING CARE LLC
Practice Location Address:

430 W MERRICK RD STE 21
VALLEY STREAM, NY
11580-5201

Practice Phone: 786-853-8863
Practice Fax:

1851804454 — MURIEL'S HEART INC
Practice Location Address:

430 W MERRICK RD STE 10
VALLEY STREAM, NY
11580-5201

Practice Phone: 718-285-0207
Practice Fax: 718-285-0207

Directions to “ CHANGMIN HAN PT, DPT, MS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.