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

Wooyoung Bae

Individual provider Physical Therapist · NPI 1194369595

Wooyoung Bae is a Physical Therapist in Private Practice in Douglaston, New York. Qualified in 2020, 6 years ago. Practices as a sole proprietor, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2019

Practice location Address checks out

4029 235th St Fl 2
Douglaston, NY 11363-1509
Phone: (516) 440-1317
Fax: (718) 691-4053
Show map & directions

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

Additional practice locations (2)

  • 15644 Northern Blvd Ste D, Flushing, NY 11354-5066 — (718) 359-1004
  • 25512 Northern Blvd, Little Neck, NY 11362-1470 — (929) 225-3210

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 042279 (NY)

Record details

NPI number1194369595
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 30, 2019
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024
Mailing address4029 235th St Fl 2, Douglaston, NY 11363-1509

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Douglaston