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
Mailing address150 Broadhollow Rd Ste 316, Melville, NY 11747-4901

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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