Healthcare Provider Details

I. General information

NPI: 1649187568
Provider Name (Legal Business Name): BAEK PHYSICAL THERAPY & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1293 NORTH AVE
NEW ROCHELLE NY
10804-2604
US

IV. Provider business mailing address

1293 NORTH AVE
NEW ROCHELLE NY
10804-2604
US

V. Phone/Fax

Practice location:
  • Phone: 914-573-4780
  • Fax:
Mailing address:
  • Phone: 914-573-4780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CAROLYN BAEK
Title or Position: PRACTICE OWNER
Credential: DPT
Phone: 914-573-4780