Individual provider Active NPI

Stephanie Rosecrans, DPT

  • Physical Therapist
  • Holly Springs, NC
National Provider Identifier
1285295287
Registry record updated Aug 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P24196 Issued in NC
Practice address
204 Matthews Dr
Holly Springs, NC 27540-4302
Phone
(919) 578-4200
Fax
(919) 578-9922
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 044413 NY
Physical Therapist 225100000X P24196 NC Primary

Addresses

Primary practice location

204 Matthews Dr
Holly Springs, NC 27540-4302

Mailing address

204 Matthews Dr
Holly Springs, NC 27540-4302
Phone (919) 578-4200

Other practice location 1

792 N Main St Ste 100C
North Syracuse, NY 13212-1667
Phone (315) 458-2552

Other practice location 2

364 Madison St
Waterville, NY 13480-1116
Phone (315) 841-3222

Other practice location 3

140 W Seneca St
Manlius, NY 13104-2420
Phone (315) 692-2336

Other names 1

  • Stephanie Grethel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190729000403 NY Practitioner - Physical Therapist in Private Practice 9133455264
I20251028002230 NC Practitioner - Physical Therapist in Private Practice 9133455264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mediq Physical TherapyGroup PAC ID 2567841638, 7 clinicians

Practice addresses (Care Compare)

204 Matthews Dr
Holly Springs, NC 27540-4302
Phone (919) 578-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P24196NCMDPhysical Therapist
044413NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mediq Physical Therapy Physical Therapist CurrentSince Aug 5, 2025 Accepting new patients

Locations

5716 W Gate City Blvd
Greensboro, NC 27407
Phone (336) 600-9930

204 Matthews Dr
Holly Springs, NC 27540
Phone (336) 438-2260

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754784000000",
    "number": "1285295287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MATTHEWS DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275404302",
            "telephone_number": "919-578-4200",
            "fax_number": "919-578-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MATTHEWS DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275404302",
            "telephone_number": "919-578-4200",
            "fax_number": "919-578-9922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "792 N Main St Ste 100C",
            "address_purpose": "LOCATION",
            "city": "North Syracuse",
            "state": "NY",
            "postal_code": "132121667",
            "country_code": "US",
            "telephone_number": "315-458-2552",
            "fax_number": "315-458-2575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "364 Madison St",
            "address_purpose": "LOCATION",
            "city": "Waterville",
            "state": "NY",
            "postal_code": "134801116",
            "country_code": "US",
            "telephone_number": "315-841-3222",
            "fax_number": "315-841-4023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 W Seneca St",
            "address_purpose": "LOCATION",
            "city": "Manlius",
            "state": "NY",
            "postal_code": "131042420",
            "country_code": "US",
            "telephone_number": "315-692-2336",
            "fax_number": "315-692-2337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSECRANS",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044413",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "GRETHEL",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.