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

Macy Sophanavong, DPT

Individual provider Physical Therapist · NPI 1174357453

Macy Sophanavong, DPT is a Physical Therapist in Saint Peters, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3639 N Saint Peters Pkwy
Saint Peters, MO 63376-7303
Phone: (309) 256-2899
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2024034830 (MO)

Record details

NPI number1174357453
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 28, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

Other providers in Saint Peters