STACY ROTH (NPI# 1356307029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356307029 |
| Entity Type | Individual |
| Full Name | STACY ROTH |
| Credential | MPT |
| Practice Address |
2360 E Pershing Blvd Cheyenne WY 82001-5356 |
| Mailing Address |
5301 Potomac St Cheyenne WY 82001-2220 |
| Practice Telephone | 3077787554 |
| Practice Fax Number | 3077787369 |
| Mailing Telephone | 3077787554 |
| Mailing Fax Number | 3077787369 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1136 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427189075 | Stacy Anne Roth | Dietitian, Registered | 9039 W Church St, Apt 1h, Des Plaines, IL 60016-7008 | 2007-03-07 |
| 1689077018 | Stacy Roth | Clinical Nurse Specialist | 4600 3rd St, Moline, IL 61265-6106 | 2014-09-30 |
| Street Address |
2360 E PERSHING BLVD |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-5356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942207303 | Robert W Weinland | Nurse Practitioner | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2005-06-30 |
| 1437756244 | Kathryn Marie Marks | Dietitian, Registered | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-10-05 |
| 1720685753 | Cheyenne Vamc | Clinic/Center | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-10-02 |
| 1710593686 | Koltyn Barber | Recreation Therapist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-09-16 |
| 1780209189 | Lindsey Snyder | Pharmacist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-06-11 |
| 1750906194 | Patrick David Cuin | Pharmacist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-06-11 |
| 1821612458 | Victoria Guter Cronin | Social Worker | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-05-29 |
| 1104446905 | Aaron Mcdaniel | Internal Medicine | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-04-21 |
| 1043840614 | Kraig Martin Patriquin | Social Worker | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-01-22 |
| 1659914463 | Melissa Ann Baker | Respiratory Therapist, Registered | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2019-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528554565 | Ty Parsons | Physical Therapist | 3917 E Pershing Blvd, Cheyenne, WY 82001-6187 | 2018-07-02 |
| 1225535537 | Kara Carter | Physical Therapist | 7226 Commons Dr Ste B, Cheyenne, WY 82009-2678 | 2018-04-12 |
| 1144732793 | Alison Kay Fischbach | Physical Therapist | 1215 E Fox Farm Rd Unit B, Cheyenne, WY 82007-2668 | 2017-11-03 |
| 1285179994 | Kacie R Pugel | Physical Therapist | 1215 E Fox Farm Rd, Cheyenne, WY 82007-2556 | 2017-01-04 |
| 1124429162 | Holly J Girmus | Physical Therapist | 1951 Bluegrass Circle Champlin Physical Therapy, LLC, (dba: Physical Therapy Center of Wy), Cheyenne, WY 82009-7355 | 2014-09-09 |
| 1992118772 | Amanda Babbert | Physical Therapist | 901 S Greeley Hwy Unit B, Cheyenne, WY 82007-3019 | 2014-06-09 |
| 1043635501 | Nicholas Robert Johnson | Physical Therapist | 1900 Converse Ave Ste B, Cheyenne, WY 82001-4112 | 2014-02-20 |
| 1316297732 | Jennifer Lee Davis | Physical Therapist | 906 Teresa Cir, Cheyenne, WY 82009-1836 | 2012-09-12 |
| 1366706830 | Erin Verburg | Physical Therapist | 4016 Laramie St, Cheyenne, WY 82001-2064 | 2012-06-29 |
| 1518292499 | Peter J Sheamansmith | Physical Therapist | 4515 E Pershing Blvd Unit C, Cheyenne, WY 82001-6093 | 2009-10-09 |
| Find all providers in CHEYENNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.