Organization Active NPI

Namyoung Baek Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1669859492
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
036349 Issued in NY
Legal business name
NAMYOUNG BAEK PHYSICAL THERAPY P.C.
Practice address
224 W 35TH St Ste 708
New York, NY 10001-2536
Phone
(347) 534-1233
Fax
(347) 534-1233
NPI assigned
Apr 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Namyoung BaekNPI 1366846495
Title
Physical Therapist
Phone
(646) 267-8990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 036349 NY Primary

Addresses

Primary practice location

224 W 35TH St Ste 708
New York, NY 10001-2536

Mailing address

224 W 35TH St Ste 708
New York, NY 10001-2536
Phone (347) 534-1233

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150709000415 NY Part B Supplier - Clinic/Group Practice 7618289380 Receives reassigned benefits from 2 practitioners
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

4602 6th Ave
Brooklyn, NY 11220
Phone (347) 763-1091

3508 154th St
Fl 1
Flushing, NY 11354
Phone (347) 763-1091

285 Grand St
Ste 2A
New York, NY 10002

285 Grand St
#2A
New York, NY 10002
Phone (212) 966-1377

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1669859492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W 35TH ST STE 708",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012536",
            "telephone_number": "347-534-1233",
            "fax_number": "347-534-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W 35TH ST STE 708",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012536",
            "telephone_number": "347-534-1233",
            "fax_number": "347-534-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAMYOUNG BAEK PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "BAEK",
        "authorized_official_first_name": "NAMYOUNG",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "646-267-8990"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "036349",
            "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 Apr 7, 2025; 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.