Bada Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BADA PHYSICAL THERAPY PC

Practice address

3127 137TH St Apt 4a
Flushing, NY 11354-1998

Phone

(347) 535-9519

NPI assigned

Jul 17, 2023

Last updated

Jul 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gyu Chang Lee, DPTNPI 1912603390

Title

President

Phone

(631) 876-2141

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gyuchang Lee

  • Physical Therapist
  • Flushing, NY
  • NPI 1912603390
  Medicare reassignment NPD Authorized official
• Ho Won, DPT

  • Physical Therapist
  • Fresh Meadows, NY
  • NPI 1689112310
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1063191195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 137TH ST APT 4A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541998",
            "telephone_number": "347-535-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 137TH ST APT 4A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541998",
            "telephone_number": "347-535-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADA PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GYU CHANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-876-2141",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruna Babic, M.D.
• Baburao Doddapaneni MD PC
• Nina Ricci Bacayo, RPT
• Janet Miran Back, DO
• Melodie Back, LMHC
• David Badalov
• Ilya Badalov, MD
• Izobela Badalova, OTR/L
• Roza Badalova
• Zinaida Badalova

• Physical Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.