Active NPI
Min Bahk, PT, ATC
- Physical Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1372257
- Practice address
- 249 S la Fayette Park PL Apt 304
Los Angeles, CA 90057-1337 - Phone
- (213) 926-8930
- NPI assigned
- Jun 14, 2017
- Last updated
- Feb 5, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 51391 | CA | |
| Athletic Trainer | 2255A2300X | 2000027143 | CA | |
| Physical Therapist | 225100000X | 1372257 | TX | Primary |
Addresses
Primary practice location
249 S la Fayette Park PL Apt 304
Los Angeles, CA 90057-1337
Mailing address
249 S la Fayette Park PL Apt 304
Los Angeles, CA 90057-1337
Phone (213) 926-8930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4780 N Josey LN
Carrollton, TX 75010-4615
Phone (972) 492-1334
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51391 | CA | MD | Physical Therapy Assistant |
| 2000027143 | CA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthotexas Physicians and Surgeons, PLLC | Current | Accepting new patients | |
| Orthotexas Physicians and Surgeons, PLLC | Current | Accepting new patients | |
| Orthotexas Physicians and Surgeons, PLLC | Current | Accepting new patients | |
| Orthopaedic Associates of North Texas PA | Past | Accepting new patients |
Locations
4780 N Josey Ln
Carrollton, TX 75010
Phone (972) 395-2293
4031 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (469) 326-8623
Interoperability endpoints
- min.bahk.1@15749.direct.athenahealth.com
Organizations & group practices 4
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.
-
dba OrthoTexas
- Orthopaedic Surgery Physician
- Plano, TX
- NPI 1740590066
-
- Orthopaedic Surgery Physician
- Carrollton, TX
- NPI 1053612564
-
- Orthopaedic Surgery Physician
- Sherman, TX
- NPI 1619541711
-
- Orthopaedic Surgery Physician
- Allen, TX
- NPI 1083628846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675555200000",
"number": "1295265171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 S LA FAYETTE PARK PL APT 304",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900571337",
"telephone_number": "213-926-8930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 S LA FAYETTE PARK PL APT 304",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900571337",
"telephone_number": "213-926-8930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHK",
"first_name": "MIN",
"credential": "PT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-14",
"last_updated": "2023-02-05",
"certification_date": "2023-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "51391",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "2000027143",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1372257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2023; 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.