Healthcare Provider Details

I. General information

NPI: 1114859592
Provider Name (Legal Business Name): STACY TROY PT, MSOPT, DPT, PRPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

187 RUSSELL ST
HADLEY MA
01035-5913
US

IV. Provider business mailing address

21 TWO PONDS RD
BELCHERTOWN MA
01007-9836
US

V. Phone/Fax

Practice location:
  • Phone: 413-323-1124
  • Fax:
Mailing address:
  • Phone: 413-323-1124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number010550
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: