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

Justin Bae, DPT

Individual provider Physical Therapist · NPI 1295617041

Justin Bae, DPT is a Physical Therapist in Private Practice in Suwanee, Georgia. Qualified in 2025, 1 year ago. Practices with Kwon Physical Therapy LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2025
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

3420 Paddocks Pkwy
Suwanee, GA 30024-9120
Phone: (470) 295-6262
Fax: (470) 300-8482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT017833 (GA)

Record details

NPI number1295617041
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 23, 2025
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing address3420 Paddocks Pkwy, Suwanee, GA 30024-9120

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Kwon Physical Therapy Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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