JUNGHWAN BANG (PHYSICAL THERAPIST) – Physical Therapist, NPI 1811536246
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,487 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AL
Provider Addresses for JUNGHWAN BANG (PHYSICAL THERAPIST)
2702 MANASCO LN APT 1
PRATTVILLE, AL 360666606
Phone: (470) 505-3243
Type: Mailing
500 HYUNDAI BLVD
MONTGOMERY, AL 361059620
Phone: (334) 387-8000
Type: Location
500 Hyundai Blvd
Montgomery, AL 361059620
Phone: (334) 387-8000
Type: Location
6019 Oleander Dr Ste 200
Wilmington, NC 284034813
Phone: (910) 790-9714
Fax: (910) 791-1063
Type: Location
PO BOX 370
FORTSON, GA 318080370
Phone: (706) 494-3071
Type: Mailing
100 N MACON ST
MACON, GA 312106563
Phone: (478) 200-6970
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-03-05
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240228003154 | I | Physical Therapist In Private Practice | AL | TBD |
| I20240305003133 | I | Physical Therapist In Private Practice | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36066)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Occupational Therapist In Private Practice | GA | |
| Occupational Therapist In Private Practice | GA | |
| Occupational Therapist In Private Practice | GA | |
| - | GA | |
| - | SC | |
| Occupational Therapist In Private Practice | GA | |
| Occupational Therapist In Private Practice | GA | |
| Occupational Therapist In Private Practice | GA |
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