BSJ Physical Therapy, P.C.

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

032544 Issued in NY

Legal business name

BSJ PHYSICAL THERAPY, P.C.

Practice address

150 Broadhollow Rd
#316
Melville, NY 11747-4905

Phone

(516) 408-0990

NPI assigned

Aug 19, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Sungjun Bae, DPTNPI 1710324660

Title

Physical Therapist

Phone

(347) 569-2107

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sungjun Bae, DPT

  • Physical Therapist
  • Melville, NY
  • NPI 1710324660
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457827200000",
    "number": "1497121917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BROADHOLLOW RD",
            "address_2": "#316",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474905",
            "telephone_number": "516-408-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BROADHOLLOW RD",
            "address_2": "#316",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474905",
            "telephone_number": "516-408-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSJ PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2016-03-13",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "SUNGJUN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "347-569-2107",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NY",
            "license": "032544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uleta Bruny-Fils, RN
• Ottavia Michaila Candace Bryan-Kelley
• Diamond C. Bryant
• Jayda Arianna Bryant
• Teresa Bryant
• Angelina Jaswanti Budhram
• Utra Budhu
• Maria Budris
• Jailyn Buendia
• Agata Karolina Bugajczyk

• Rehabilitation Hospital Unit in Melville, NY
• Providers in Melville, NY by specialty
• Rehabilitation Hospital Unit in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2016; 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.