Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BADA PHYSICAL THERAPY PC
NPI 1063191195
Physical Therapist in Fresh Meadows, NY

Active since July 17, 2023
7736 169TH ST LOWR LEVEL, FRESH MEADOWS, NY 11366(631) 876-2141(213) 289-8133 Get Directions Write a Review

NPPES record last updated: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 6, 2026, Jul 17, 2023 (2 updates tracked since 2023).

About Bada Physical Therapy Pc NPPES

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

BADA PHYSICAL THERAPY PC (NPI 1063191195) is a healthcare organization registered as a physical therapist in Fresh Meadows, New York and active in the NPI registry since July 2023. The organization lists Gyuchang Lee, President, as its authorized official.

NPPES Registry Identity

NPI1063191195
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameBADA PHYSICAL THERAPY PC
Location Address7736 169TH ST LOWR LEVELFresh Meadows, NY 11366-1371
Mailing Address7736 169th St Lowr LevelFresh Meadows, NY 11366-1371 · (631) 876-2141 · Fax (213) 289-8133
Fax(213) 289-8133
Organization SubpartNo
Authorized OfficialGyuchang LeePresident · (631) 876-2141
Enumeration DateJuly 17, 2023
Last NPPES UpdateNovember 6, 20262 updates tracked since enumeration
NPPES CertifiedNovember 6, 2026
✔ NPI 1063191195 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
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.
7736 169TH ST LOWR LEVEL, Fresh Meadows, NY 11366

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bada Physical Therapy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bada Physical Therapy PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1912603390
3127 137TH ST
Flushing, NY 11354
(347) 535-9519
✔ Accepts Medicare3.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bada Physical Therapy PC's NPI number?

The NPI number for Bada Physical Therapy PC is 1063191195. It was assigned to this organization in the NPPES registry on July 17, 2023.

Where is Bada Physical Therapy PC located?

Bada Physical Therapy PC is located at 7736 169th St Lowr Level, Fresh Meadows, NY 11366. The listed phone number is (631) 876-2141.

What is Bada Physical Therapy PC's specialty?

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

Is Bada Physical Therapy PC enrolled in Medicare?

Yes. Bada Physical Therapy PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bada Physical Therapy PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Bada Physical Therapy PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bada Physical Therapy PC was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.