Sungguk Bae
NPI 1043710155ActiveIndividual· Physical Therapist· Patchogue, NY
Physical Therapist in Patchogue, New York, licensed in NY, with an NPI issued in February 2018. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1043710155 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 15, 2018 |
| Last updated in NPPES | Feb 15, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 041263 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (TX) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Other Physical Therapist providers in Patchogue
- 1346991114
- 1235241670
- 1386659779
- 1255703807
- 1528351988
- 1003598418
- 1861968372
- 1275813420
- 1518180173
- 1083200927
- 1730378977
- 1063717833