Individual provider Active NPI

Daniel Bae

  • Physical Therapist
  • New York, NY
National Provider Identifier
1124855911
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5 E 98TH St
SB-Room 18
New York, NY 10029
Phone
(212) 824-8369
NPI assigned
Sep 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

5 E 98TH St
SB-Room 18
New York, NY 10029

Mailing address

5 E. 98TH Street
SB-Room 18
New York, NY 10029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250115001475 NY Practitioner - Physical Therapist in Private Practice 4284162405 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

5 E 98TH St
FL 6
New York, NY 10029-6501
Phone (212) 241-9468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 15, 2024 Accepting new patients
Homeside Rehab, PT, OT, SLP LLC Physical Therapist CurrentSince Aug 10, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 15, 2024 Accepting new patients
Visiting Rehab PT OT SLP PLLC Physical Therapist CurrentSince Aug 10, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai PastSince Sep 23, 2024 Accepting new patients

Locations

3846 Flatlands Ave
#2
Brooklyn, NY 11234
Phone (917) 754-6634

441 Route 306
Ste 2
Monsey, NY 10952
Phone (201) 952-4436

5 E 98th St
Fl 6
New York, NY 10029
Phone (212) 241-2221

150 E 42nd St
New York, NY 10017
Phone (212) 661-8139

5 E 98th St
#18
New York, NY 10029
Phone (212) 241-7658

296 Route 59
Ste 1225
Suffern, NY 10901

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1124855911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E. 98TH STREET",
            "address_2": "SB-ROOM 18",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E 98TH ST",
            "address_2": "SB-ROOM 18",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-824-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAE",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.