Active NPI
Stefan T Maksymiw, PT
- Physical Therapist
- Holly Springs, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P9789
- Practice address
- 781 Avent Ferry Rd Ste 110
Holly Springs, NC 27540-7776 - Phone
- (919) 781-4060
- Fax
- (919) 781-5246
- NPI assigned
- Jul 6, 2006
- Last updated
- Sep 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P9789 | NC | Primary |
Addresses
Primary practice location
781 Avent Ferry Rd Ste 110
Holly Springs, NC 27540-7776
Mailing address
3001 Edwards Mill Rd # 200
Raleigh, NC 27612-5243
Phone (919) 781-4060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079PP | Other | NC | BCBSNC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York at Buffalo School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 Timber Dr E
Garner, NC 27529-6924
Phone (919) 781-5600
781 Avent Ferry Rd
Suite 110
Holly Springs, NC 27540-7776
Phone (919) 781-5600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9789 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raleigh Orthopaedic Clinic PA | Current | Accepting new patients | |
| Avante Physical Therapy | Past | Accepting new patients | |
| Team Care Physical Therapy | Past | Accepting new patients | |
| Team Care Manual & Physical Therapy Company Inc | Physical Therapist | Past | Accepting new patients |
| Brown Orthopaedic Surgery & Sports Medicine Center, P.a. | Past | Accepting new patients | |
| Raleigh Orthopaedic Pharmacy | Past | Accepting new patients |
Locations
222 Ashville Ave
Ste 20
Cary, NC 27518
Phone (919) 235-0616
1325 Timber Dr E
Garner, NC 27529
Phone (919) 863-6991
781 Avent Ferry Rd
Ste 110
Holly Springs, NC 27540
Phone (919) 645-1411
3001 Edwards Mill Rd
#200
Raleigh, NC 27612
Phone (919) 863-6853
3515 Glenwood Ave
Raleigh, NC 27612
Phone 91978156006856
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Raleigh Orthopaedic Therapy Services
- Orthopaedic Surgery Physician
- Raleigh, NC
- NPI 1235137563
-
- Orthopedic Physical Therapist
- Cary, NC
- NPI 1376522540
-
- Orthopaedic Surgery Physician
- Fuquay Varina, NC
- NPI 1497753735
-
dba Raleigh Orthopaedic Therapy Services
- Orthopedic Physical Therapist
- Raleigh, NC
- NPI 1497960629
-
- Physical Therapist
- Cary, NC
- NPI 1467492835
-
- Orthopedic Physical Therapist
- Cary, NC
- NPI 1447239918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1386675148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 EDWARDS MILL RD # 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276125243",
"telephone_number": "919-781-4060",
"fax_number": "919-781-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "781 AVENT FERRY RD STE 110",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275407776",
"telephone_number": "919-781-4060",
"fax_number": "919-781-5246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKSYMIW",
"first_name": "STEFAN",
"middle_name": "T",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P9789",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "079PP",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holly Springs, NC
- Megan Macgregor, MD
- James Machado Workman
- Sowmya Reddy Madduri
- Made to Mother Lactation, PLLC (Wonderfully Made Women's Health)
- Magnolia Women's Health
- Ashley Malone, LCMHCA
- Mamata Hoogar, DMD, P.a.
- Rachel Elizabeth Mantlik, DPT
- Marcus C. Curry DDS Ms PA (Curry Endodontics)
- Edward Tyree Markowski, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.