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

Dr. Stephen J Baciak II, DPT

Individual provider Physical Therapist · NPI 1326316001

Dr. Stephen J Baciak II, DPT is a Physical Therapist in Private Practice in Fort Campbell, Kentucky. Qualified in 2010, 16 years ago. Practices with Dg Physical Therapy PC, a 44-clinician group and accepts Medicare assignment. Licensed in Connecticut and Florida.

Years since qualifying
16
Licensed in
CT, FL
In the registry since
2011
Specialties on file
2
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

650 Joel Dr
Fort Campbell, KY 42223
Phone: (555) 321-4567
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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 12100 (CT)
Physical Therapist Taxonomy 225100000X · Licence PT 26233 (FL)

Record details

NPI number1326316001
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedDecember 8, 2011
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Dg Physical Therapy Pc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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