Individual provider Active NPI

Stefan Balciunas, PT, DPT

  • Physical Therapist
  • Columbus, GA
National Provider Identifier
1629792890
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP015272T Issued in NC
Practice address
2045 Centre Stone CT Ste B
Columbus, GA 31904-4561
Phone
(706) 507-3794
NPI assigned
Sep 30, 2022
Last updated
Dec 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP026482T GA
Physical Therapist 225100000X 1367864 TX
Physical Therapist 225100000X CP015272T NC Primary

Addresses

Primary practice location

2045 Centre Stone CT Ste B
Columbus, GA 31904-4561

Mailing address

2045 Centre Stone CT Ste B
Columbus, GA 31904-4561
Phone (706) 507-3794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA, WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221108001686 NC Practitioner - Physical Therapist in Private Practice 4688041460
I20240102003714 GA Practitioner - Physical Therapist in Private Practice 4688041460 Reassigns benefits to 1 organization
I20250801003394 WA Practitioner - Physical Therapist in Private Practice 4688041460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Texas Medical Branch at Galveston, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellingham Physical Therapy LLCGroup PAC ID 7618873498, 11 clinicians

Practice addresses (Care Compare)

306 36TH St
Bellingham, WA 98225-6580
Phone (360) 647-0444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP015272TNCMDPhysical Therapist
1367864TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellingham Physical Therapy, PLLC Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Jan 15, 2024 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Jan 15, 2024 Accepting new patients
Matthews Physical Therapy Inc Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Trillium Physical Therapy Physical Therapist Past Accepting new patients
Physical Therapy Center Two, LLC Past Accepting new patients
Empower Physical Therapy, PLLC Physical Therapist Past Accepting new patients

Locations

2045 Centre Stone Ct
Ste B
Columbus, GA 31904
Phone (706) 257-4189

1000 Johnson Ferry Rd
Ste A115
Marietta, GA 30068
Phone (404) 367-2085

1352 Matthews Township Pkwy
Ste 102
Matthews, NC 28105
Phone (704) 847-6351

306 36th St
Bellingham, WA 98225
Phone (360) 647-0444

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1629792890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 CENTRE STONE CT STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044561",
            "telephone_number": "706-507-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 CENTRE STONE CT STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044561",
            "telephone_number": "706-507-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCIUNAS",
        "first_name": "STEFAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-30",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP026482T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1367864",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP015272T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.

Verify at the official NPI Registry.