Stephen J. Baciak II, DPT
NPI 1326316001ActiveIndividual· Physical Therapist· Fort Campbell, KY
Physical Therapist (DPT) with Dg Physical Therapy PC, practicing in Fort Campbell, Kentucky. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1326316001 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Dec 8, 2011 |
| Last updated in NPPES | Dec 11, 2024 |
| Certified by provider | Dec 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 12100 | CT |
| Physical Therapist | 225100000X | PT 26233 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MA) |
|---|
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Dg Physical Therapy PCAuburn, MA · 45 clinicians
Other Physical Therapist providers in Fort Campbell
- 1194477885
- 1184693590
- 1346490471
- 1992971626
- 1063579589
- 1912771130
- 1174874374
- 1124467386
- 1548048994
- 1265088439
- 1285667592
- 1992963722