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

Stacy Roth, MPT

Individual provider Physical Therapist · NPI 1356307029

Stacy Roth, MPT is a Physical Therapist in Cheyenne, Wyoming. Licensed in North Dakota. Registered with an NPI since 2006.

Licensed in
ND
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

2360 E Pershing Blvd
Cheyenne, WY 82001-5356
Phone: (307) 778-7554
Fax: (307) 778-7369
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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 1136 (ND)

Record details

NPI number1356307029
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedApril 21, 2006
Last updated in NPPESJuly 8, 2007
Mailing address5301 Potomac St, Cheyenne, WY 82001-2220

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