Stacy Licht, PT, DPT
NPI 1902048069 · Physical Therapist · Cleveland, TN
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacy Licht, PT, DPT is a Physical Therapist provider in Cleveland, TN (NPI 1902048069).
Provider details
- NPI number
- 1902048069
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- License
- PT8088 (TN)
Specialties & taxonomies
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
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2009-04-03
- Last updated
- 2011-08-01
Frequently asked questions
- What is Stacy Licht's NPI number?
- Stacy Licht's National Provider Identifier (NPI) is 1902048069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Licht's specialty?
- Stacy Licht is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Stacy Licht located?
- Stacy Licht's practice location on file with NPPES is 500 Lebanon Valley Rd, Cleveland, TN 37311-8477.
- What is Stacy Licht's phone number?
- The practice phone number listed in the NPPES registry for Stacy Licht is (423) 310-0555.
- Does Stacy Licht accept Medicare?
- Stacy Licht is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacy Licht's NPI active?
- Yes — Stacy Licht's NPI (1902048069) is active in the NPPES registry as of the last update on 2011-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.