Bayside Professional PT PC
NPI 1730054362 · Physical Therapist · Bayside, NY
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bayside Professional PT PC is a Physical Therapist organization in Bayside, NY (NPI 1730054362).
Provider details
- NPI number
- 1730054362
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jaehyun Park, Physical Therapist/Owner(718) 224-2250
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-10-06
- Last updated
- 2025-10-06
- Certified
- 2025-10-06
Frequently asked questions
- What is Bayside Professional PT PC's NPI number?
- Bayside Professional PT PC's National Provider Identifier (NPI) is 1730054362, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bayside Professional PT PC?
- Bayside Professional PT PC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Bayside Professional PT PC located?
- Bayside Professional PT PC's practice location on file with NPPES is 20801 Northern Blvd Ste 301, Bayside, NY 11361-3118.
- What is Bayside Professional PT PC's phone number?
- The practice phone number listed in the NPPES registry for Bayside Professional PT PC is (718) 224-2250.
- Does Bayside Professional PT PC accept Medicare?
- Bayside Professional PT PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bayside Professional PT PC?
- The authorized official listed on Bayside Professional PT PC's NPPES record is Jaehyun Park, Physical Therapist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bayside Professional PT PC's NPI active?
- Yes — Bayside Professional PT PC's NPI (1730054362) is active in the NPPES registry as of the last update on 2025-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.