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

Stacia Sue Roggenbaum

Individual provider Physical Therapist · NPI 1619743325

Stacia Sue Roggenbaum is a Physical Therapist in Bradford, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2023

Practice location Address checks out

100 Saint Francis Dr
Bradford, PA 16701-1868
Phone: (814) 368-5648
Show map & directions

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

Additional practice locations (1)

  • 31 Bon Air Ave, Bradford, PA 16701-1002 — (814) 331-3650

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT002132E (PA)

Record details

NPI number1619743325
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 4, 2023
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023

Other providers in Bradford