Larissa Stacy, PT, DPT
NPI 1811411887 · Physical Therapist · Kermit, WV
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Larissa Stacy, PT, DPT is a Physical Therapist provider in Kermit, WV (NPI 1811411887).
Provider details
- NPI number
- 1811411887
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 007169 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 62 Maude RdInez, KY 41224Phone: (606) 298-0091
Registry dates
- Enumerated
- 2017-08-01
- Last updated
- 2022-10-13
- Certified
- 2022-10-13
Frequently asked questions
- What is Larissa Stacy's NPI number?
- Larissa Stacy's National Provider Identifier (NPI) is 1811411887, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larissa Stacy's specialty?
- Larissa Stacy is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Larissa Stacy located?
- Larissa Stacy's practice location on file with NPPES is 47454 Route 52, Kermit, WV 25674-8052.
- What is Larissa Stacy's phone number?
- The practice phone number listed in the NPPES registry for Larissa Stacy is (304) 393-4072.
- Does Larissa Stacy accept Medicare?
- Larissa Stacy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Larissa Stacy's NPI active?
- Yes — Larissa Stacy's NPI (1811411887) is active in the NPPES registry as of the last update on 2022-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.