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

Mr. Jung Soo Bae, PTA, LMT

Individual provider Physical Therapy Assistant · NPI 1619297462

Mr. Jung Soo Bae, PTA, LMT is a Physical Therapy Assistant in Hawthorne, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

24 Saw Mill River Rd Ste 204
Hawthorne, NY 10532-1541
Phone: (914) 631-6969
Fax: (914) 631-0943
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 023459-1 (NY)
Physical Therapy Assistant Taxonomy 225200000X · Licence 006279-1 (NY)

Record details

NPI number1619297462
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA , LMT
Sole proprietorYes
NPI enumeratedJune 3, 2010
Last updated in NPPESJune 3, 2010

Other providers in Hawthorne