Organization Active NPI

SB Physical Therapy PC

  • Physical Therapist
  • Melville, NY
National Provider Identifier
1043151806
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Apr 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sungjun BaeNPI 1710324660
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.