Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sungjun Bae, DPT

Individual provider Physical Therapist · NPI 1710324660

Sungjun Bae, DPT is a Physical Therapist in Private Practice in Melville, New York. Qualified in 2009, 17 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2013
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

150 Broadhollow Rd Ste 316
Melville, NY 11747-4901
Phone: (347) 569-2107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 750 Veterans Memorial Hwy Ste 103, Hauppauge, NY 11788-2943 — (347) 569-2107

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 032544-1 (NY)

Record details

NPI number1710324660
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 2, 2013
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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