Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Corbin John Stefanski, DPT

Individual provider Physical Therapist · NPI 1720974298

Dr. Corbin John Stefanski, DPT is a Physical Therapist in Private Practice in Traverse City, Michigan. Qualified in 2025, 1 year ago. Practices with Functional Dimensions, LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3899 W Frnt ST
Traverse City, MI 49684-8103
Phone: (231) 944-6541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501303926 (MI)

Record details

NPI number1720974298
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 13, 2025
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025
Mailing address6210 Mount Maria Rd, Hubbard Lake, MI 49747-9621

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Functional Dimensions, Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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