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

Bayside Professional PT PC

Organization Physical Therapist · NPI 1730054362

Bayside Professional PT PC is a Physical Therapist in Bayside, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20801 Northern Blvd Ste 301
Bayside, NY 11361-3118
Phone: (718) 224-2250
Fax: (718) 224-2250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1730054362
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaehyun Park — Physical Therapist/Owner · (718) 224-2250
NPI enumeratedOctober 6, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address20801 Northern Blvd Ste 301, Bayside, NY 11361-3118

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