Wooyoung Bae

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

042279 Issued in NY

Practice address

4029 235TH St FL 2
Douglaston, NY 11363-1509

Phone

(516) 440-1317

Fax

(718) 691-4053

NPI assigned

Oct 30, 2019

Last updated

Dec 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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

• New Core Physical Therapy PC

  • Physical Therapist
  • Douglaston, NY
  • NPI 1205473774
  Medicare reassignment Authorized official
• Core Balance Physical Therapy, P.C.

  • Physical Therapist
  • Douglaston, NY
  • NPI 1669169108
  Authorized official Same address or phone
• New Corpus Physical Therapy PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1417553520

  Physical Therapist

  NPD

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1194369595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 235TH ST FL 2",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113631509",
            "telephone_number": "516-440-1317",
            "fax_number": "718-691-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 235TH ST FL 2",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113631509",
            "telephone_number": "516-440-1317",
            "fax_number": "718-691-4053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25512 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Little Neck",
            "state": "NY",
            "postal_code": "113621470",
            "country_code": "US",
            "telephone_number": "929-225-3210 x92922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15644 Northern Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545066",
            "country_code": "US",
            "telephone_number": "718-359-1004",
            "fax_number": "718-691-4053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAE",
        "first_name": "WOOYOUNG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-30",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Amorini
• Avi Appel, LMSW
• Benjamin Appel, LMSW
• Jean Paul Asensi, L.AC
• Yair M Ausubel
• Patricia Anne Balducci-Espiritu, RD
• Erion Bardhi
• Branislav Bednarik
• Elana Amy Bergman, LMSW
• Big Apple Ortho Med Supply Inc

• Physical Therapist in Douglaston, NY
• Providers in Douglaston, 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 Dec 2, 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.