SUNGGUK BAE
NPI 1043710155
Physical Therapist in Patchogue, NY

Active since February 15, 2018
21 CLEVELAND ST, PATCHOGUE, NY 11772(631) 569-9373 Get Directions Write a Review

NPPES record last updated: February 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sungguk Bae NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNGGUK BAE (NPI 1043710155) is an individual physical therapist in Patchogue, New York, licensed in New York (041263) and active in the NPI registry since February 2018. He is a graduate of Other (2019).

NPPES Registry Identity

NPI1043710155
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSUNGGUK BAE
Location Address21 CLEVELAND STPatchogue, NY 11772-2815
Mailing Address21 Cleveland StPatchogue, NY 11772-2815
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 15, 2018
NPI 1043710155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NY · 041263
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
21 CLEVELAND ST, Patchogue, NY 11772

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sungguk Bae is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183191455
PECOS Enrollment IDI20260427000658

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sungguk Bae's NPI number?

The NPI number for Sungguk Bae is 1043710155. It was assigned to this individual provider in the NPPES registry on February 15, 2018.

Where is Sungguk Bae located?

Sungguk Bae practices at 21 Cleveland St, Patchogue, NY 11772. The listed phone number is (631) 569-9373.

What is Sungguk Bae's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Sungguk Bae enrolled in Medicare?

Yes. Sungguk Bae is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sungguk Bae was last updated on February 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.