Active NPI
SB Physical Therapy PC
- Physical Therapist
- Melville, NY
National Provider Identifier
1043151806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SB PHYSICAL THERAPY PC
- Practice address
- 535 Broadhollow Rd Ste B36
Melville, NY 11747-3726 - Phone
- (631) 626-9299
- NPI assigned
- Apr 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sungjun Bae
- Title
- Owner
- Phone
- (631) 626-9299
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
535 Broadhollow Rd Ste B36
Melville, NY 11747-3726
Mailing address
535 Broadhollow Rd Ste B36
Melville, NY 11747-3726
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Melville, NY
- NPI 1710324660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775174400000",
"number": "1043151806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 BROADHOLLOW RD STE B36",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 BROADHOLLOW RD STE B36",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473726",
"telephone_number": "631-626-9299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SB PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-03",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A",
"authorized_official_last_name": "BAE",
"authorized_official_first_name": "SUNGJUN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-626-9299"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.