Provider Demographics
NPI:1285295287
Name:ROSECRANS, STEPHANIE (DPT)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:
Last Name:ROSECRANS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:GRETHEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:204 MATTHEWS DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-4302
Mailing Address - Country:US
Mailing Address - Phone:919-578-4200
Mailing Address - Fax:919-578-9922
Practice Address - Street 1:204 MATTHEWS DR
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-4302
Practice Address - Country:US
Practice Address - Phone:919-578-4200
Practice Address - Fax:919-578-9922
Is Sole Proprietor?:No
Enumeration Date:2019-06-21
Last Update Date:2025-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044413225100000X
NCP24196225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist