101 Avenue Physical Therapy PC
NPI 1710404173ActiveOrganization· Physical Therapist· Great Neck, NY
Physical Therapist in Great Neck, New York, registered in NPPES in August 2017. The authorized official on file is Changhun Lee, President.
Overview
| NPI | 1710404173 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 26, 2017 |
| Last updated in NPPES | Aug 26, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 36145 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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