MRS. STACEY ANN ROSENBAUM (PT) – Physical Therapist, NPI 1245349992

MRS. STACEY ANN ROSENBAUM (PT) is a healthcare provider. based in Chesterfield, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 105713 (MO). The NPI Number for MRS. STACEY ANN ROSENBAUM (PT) is 1245349992

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STACEY ANN ROSENBAUM (PT)
NPI
1245349992
Phone
(636) 206-4225
Address
647 SPIRIT AIRPARK WEST DR STE 101
Enumeration Date
29 August 2006
Last Update Date
20 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3142749222
Graduation Year
1994 (32 years ago)
PAC ID
1951371194
Group Practice PAC ID
3375840028
Professional Enrollment ID
I20040727000671
Address ID
MO631291064SA4131XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for MRS. STACEY ANN ROSENBAUM (PT)

  • 647 SPIRIT AIRPARK WEST DR STE 101

    CHESTERFIELD, MO 630051032

    Phone: (636) 206-4225

    Type: Mailing

  • 53 FENTON PLZ

    FENTON, MO 630264110

    Phone: (636) 493-8646

    Type: Location

  • 625, Enterprise Drive, Oak Brook, DuPage County, Illinois, 60523, United States

    OAK BROOK, IL 605238813

    Phone: (636) 349-8060

    Fax: (636) 349-9171

    Type: Mailing

  • 784, Gravois Bluffs Boulevard, Gravois Bluffs, Fenton, Saint Louis County, Missouri, 63026, United States

    FENTON, MO 630267726

    Phone: (636) 349-8060

    Fax: (636) 349-9171

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040727000671IPhysical Therapist In Private PracticeMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63005)

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Provider's Procedures

MRS. STACEY ANN ROSENBAUM (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMO97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes50552
PHYSICAL THERAPYMO97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes29145

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375840028View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Occupational Therapist In Private PracticeMO
Occupational Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Occupational Therapist In Private PracticeIL
-MO
Occupational Therapist In Private PracticeMO
Occupational Therapist In Private PracticeMO

Reviews

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Frequently asked questions

What is the registry number for MRS. STACEY ANN ROSENBAUM (PT)?
The registry entry for MRS. STACEY ANN ROSENBAUM (PT) shows NPI 1245349992.
Is MRS. STACEY ANN ROSENBAUM (PT)'s NPI status active today?
Active status means MRS. STACEY ANN ROSENBAUM (PT)'s NPI record is not deactivated in the public file.
What does the directory say MRS. STACEY ANN ROSENBAUM (PT) does?
Insurance directories may phrase it differently, but here MRS. STACEY ANN ROSENBAUM (PT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. STACEY ANN ROSENBAUM (PT)?
MRS. STACEY ANN ROSENBAUM (PT) shows a connection to Chesterfield, Missouri in registry-derived data.
Can I export MRS. STACEY ANN ROSENBAUM (PT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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