Individual provider Active NPI

Min Bahk, PT, ATC

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1295265171
Registry record updated Feb 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1372257 Issued in TX
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230609000426 TX Practitioner - Physical Therapist in Private Practice 9931566783 Reassigns benefits to 1 organization

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 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51391CAMDPhysical Therapy Assistant
2000027143CAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Orthotexas Physicians and Surgeons, PLLC CurrentSince May 1, 2023 Accepting new patients
Orthotexas Physicians and Surgeons, PLLC CurrentSince May 1, 2023 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.