Michael Warren Balkcum, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT003655 Issued in GA

Practice address

6298 Veterans Pkwy
Suite 5a
Columbus, GA 31909-6258

Phone

(706) 324-3558

Fax

(706) 320-5484

NPI assigned

Feb 11, 2010

Last updated

Feb 24, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Human Performance and Rehabilitation Centers LLC

  • Durable Medical Equipment & Medical Supplies
  • Columbus, GA
  • NPI 1891583654
  NPD
• Human Performance and Rehabilitation Centers, LLC

  • Physical Therapist
  • Columbus, GA
  • NPI 1104415983
  NPD
• Human Performance and Rehabilitation Centers, LLC

  • Physical Therapy Clinic/Center
  • Auburn, AL
  • NPI 1720677503

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1639401953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6298 VETERANS PKWY",
            "address_2": "SUITE 5A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096258",
            "telephone_number": "706-324-3558",
            "fax_number": "706-320-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6298 VETERANS PKWY",
            "address_2": "SUITE 5A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096258",
            "telephone_number": "706-324-3558",
            "fax_number": "706-320-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALKCUM",
        "first_name": "MICHAEL",
        "middle_name": "WARREN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT003655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monterica Baldwin
• Shenett Baldwin, RBT
• Alexis Bales
• Baliga Family Practice PC
• Bantwal Prathibha Baliga, MD,DGO
• Lorrie Ball, NP
• Steve Ballesteros
• Saeed Aasim Baloch, MD
• Charlene Elise Baltimore
• Michael Baltimore, PH.D.

• Physical Therapist in Columbus, GA
• Providers in Columbus, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.