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

Mrs. Stacey Ann Rosenbaum, PT

Individual provider Physical Therapist · NPI 1245349992

Mrs. Stacey Ann Rosenbaum, PT is a Physical Therapist in Private Practice in Fenton, Missouri. Qualified in 1994, 32 years ago. Practices with Axes Physical Therapy LLC, a 113-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
32
Licensed in
MO
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

53 Fenton Plz
Fenton, MO 63026-4110
Phone: (636) 493-8646
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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 105713 (MO)

Record details

NPI number1245349992
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Axes Physical Therapy Llc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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