| Sungguk Bae, | |
|
21 Cleveland St, Patchogue, NY 11772-2815 | |
| (631) 569-9373 | |
| Not Available |
| Full Name | Sungguk Bae |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 7 Years |
| Location | 21 Cleveland St, Patchogue, New York |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043710155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 041263 (New York) | Primary |
| Provider Name | Movactive Therapy and Wellness, PLLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528759933 PECOS PAC ID: 2365919636 Enrollment ID: O20260423001951 |
| Mailing Address | Practice Location Address |
|---|---|
| Sungguk Bae, 21 Cleveland St, Patchogue, NY 11772-2815 Ph: Not Available | Sungguk Bae, 21 Cleveland St, Patchogue, NY 11772-2815 Ph: (631) 569-9373 |
Ronald Amaya Lopez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 322 W Main St, Patchogue, NY 11772 Phone: 631-228-4977 |
Nicole Marie Divirgilio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 Route 112 Ste F, Patchogue, NY 11772 Phone: 631-207-2370 |
John Lowe Wilson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 Theresa Ct, Patchogue, NY 11772 Phone: 631-730-3326 |
Danielle M Bousquet, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 Medford Ave, Patchogue, NY 11772 Phone: 631-758-1910 |
Stephanie Lauren Vanschaick, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 77 Medford Ave, Patchogue, NY 11772 Phone: 631-758-1910 Fax: 631-758-1984 |
Kathleen Alyssa Bailey, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 322 W Main St, Patchogue, NY 11772 Phone: 631-228-4977 |
Mr. Michael C. Williams Ii, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 Medford Ave Ste F, Patchogue, NY 11772 Phone: 631-207-2370 Fax: 631-758-1748 |