Stephanie Ballis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015323 Issued in GA

Practice address

3300 Northeast Exp, BLDG 8, Ste. C
Atlanta, GA 30341

Phone

(770) 500-3848

Fax

(678) 481-9261

NPI assigned

Jun 8, 2021

Sex

Female

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

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Emory University School of Medicine, 2021

Medicare assignment

May accept Medicare assignment

Group practices

One-on-One Therapy Inc.Group PAC ID 9830241744, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• One-on-One Therapy Inc.

  • Physical Therapist
  • Atlanta, GA
  • NPI 1881766764

  GA, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1821665951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N HIGHLAND AVE NE UNIT 3521",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303075619",
            "telephone_number": "413-265-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NORTHEAST EXP, BLDG 8, STE. C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30341",
            "telephone_number": "770-500-3848",
            "fax_number": "678-481-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLIS",
        "first_name": "STEPHANIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William L Ballard, MD
• Samir Antonio Ballestas Naissir, MD
• Destiny Ballesteros-Lopez
• Marco William Balletto Jr.
• John R. Ballew, LPC
• Dawn Collette Ballou-Anderson, PA-C
• Zyviera Shainece Ballou, MA, BCBA
• Ryan Michael Balmes, DPT
• David Olabanji Balogun
• Mosope Balogun

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.