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Han Thu Cao

Physical Therapist in Great Neck, NY. Individual provider (NPI-1).

NPI number1760925614
StatusActive
Last updated in NPPESJul 25, 2024

Details

NPI
1760925614
Entity type
Individual (NPI-1)
Name
Han Thu Cao
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 27, 2016
Certification date
Jul 25, 2024
Last updated
Jul 25, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist040997NYYes

Practice location

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802

Phone 516-829-0030 · Fax 516-466-7723

Mailing address

9430 Sutter Ave
Ozone Park, NY 11417-1554

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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