Stacy Roth, MPT - Physical Therapist in Cheyenne, WY

Stacy Roth, MPT is a Physical Therapist based in Cheyenne, Wyoming. Stacy Roth is licensed to practice in North Dakota (license number 1136) and his current practice location is 2360 E Pershing Blvd, Cheyenne, Wyoming. He can be reached at his office (for appointments etc.) via phone at (307) 778-7554.

NPI number for Stacy Roth is 1356307029 and his current mailing address is 5301 Potomac St, Cheyenne, Wyoming. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356307029.

Contact Information

Stacy Roth, MPT
2360 E Pershing Blvd,
Cheyenne, WY 82001-5356
(307) 778-7554
(307) 778-7369



Healthcare Provider's Profile

Full NameStacy Roth
GenderMale
SpecialityPhysical Therapist
Location2360 E Pershing Blvd, Cheyenne, Wyoming
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356307029
  • Provider Enumeration Date: 04/21/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Stacy Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356307029NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 1136 (North Dakota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Roth is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacy Roth, MPT
5301 Potomac St,
Cheyenne, WY 82001-2220

Ph: (307) 778-7554
Stacy Roth, MPT
2360 E Pershing Blvd,
Cheyenne, WY 82001-5356

Ph: (307) 778-7554

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› Verified 9 days ago


Physical Therapist in Cheyenne, WY

Bluegrass Physical Therapy Limited Partnership
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1950 Bluegrass Cir, Suite 110, Cheyenne, WY 82009
Phone: 307-634-2626    Fax: 307-634-5099
Mrs. Linda Rc Froelicher, MSPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 4000 Central Ave, Suite #3, Cheyenne, WY 82001
Phone: 307-634-0298    Fax: 307-634-0837
Nicholas Robert Johnson, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Converse Ave Ste B, Cheyenne, WY 82001
Phone: 307-514-2411    Fax: 307-514-2392
Byron Louis Long, MPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1950 Bluegrass Cir, Suite 110, Cheyenne, WY 82009
Phone: 307-634-2626    Fax: 307-634-5099
Mr. Thomas James Bledsoe, M.P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 4017 Rawlins St, Cheyenne, WY 82001
Phone: 307-635-2562    
Sandra Champlin, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1951 Bluegrass Cir, Cheyenne, WY 82009
Phone: 307-773-8533    Fax: 307-635-7578
Dr. Charlene Marie Sheamansmith, PT, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 4515 E Pershing Blvd Unit C, Cheyenne, WY 82001
Phone: 307-635-2388    Fax: 307-635-1730

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