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

Dr. Larissa Stacy, PT, DPT

Individual provider Physical Therapist · NPI 1811411887

Dr. Larissa Stacy, PT, DPT is a Physical Therapist in Private Practice in Kermit, West Virginia. Qualified in 2017, 9 years ago. Practices with Summit Physical Therapy Limited Partnership, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and West Virginia.

Years since qualifying
9
Licensed in
KY, WV
In the registry since
2017
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

47454 Route 52
Kermit, WV 25674-8052
Phone: (304) 393-4072
Fax: (304) 393-4074
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 62 Maude Rd, Inez, KY 41224 — (606) 298-0091

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence CP004549T (WV)
Physical Therapist Taxonomy 225100000X · Licence 007169 (KY)

Record details

NPI number1811411887
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 1, 2017
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Summit Physical Therapy Limited Partnership — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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