DR. STEPHEN T. ROUSH DC
NPI 1114495637
Chiropractor in Vienna, WV

Active since November 02, 2018
1500 GRAND CENTRAL AVE STE 108, VIENNA, WV 26105(304) 893-9586 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2022, Dec 2, 2021, Nov 2, 2018 (3 updates tracked since 2018).

About Dr. Stephen T. Roush Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHEN T. ROUSH DC (NPI 1114495637) is an individual chiropractor in Vienna, West Virginia, licensed in West Virginia (1077) and active in the NPI registry since November 2018. He maintains a secondary practice location in Colorado Springs and is a graduate of Other (2018).

NPPES Registry Identity

NPI1114495637
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. STEPHEN T. ROUSHCredential: DC
Location Address1500 GRAND CENTRAL AVE STE 108Vienna, WV 26105-1079
Mailing Address9240 Explorer Dr Ste 215Colorado Springs, CO 80920-5006
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 2, 2018
Last NPPES UpdateOctober 19, 20223 updates tracked since enumeration
NPPES CertifiedOctober 19, 2022
NPI 1114495637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses Licensed in WV · 1077 Licensed in CO · CHR.0007919
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1500 GRAND CENTRAL AVE STE 108, Vienna, WV 26105

Secondary Practice Location 1

Location 19240 Explorer Dr Ste 215Colorado Springs, CO 80920-5006 · Phone (719) 473-7000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Stephen T. Roush Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759708498
PECOS Enrollment IDI20221215000080

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
374 services40 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1500 GRAND CENTRAL AVE STE 108
VIENNA, WV 26105
Massage Therapist
1500 GRAND CENTRAL AVE STE 108
VIENNA, WV 26105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Roush's NPI number?

The NPI number for Stephen Roush is 1114495637. It was assigned to this individual provider in the NPPES registry on November 2, 2018.

Where is Stephen Roush located?

Stephen Roush practices at 1500 Grand Central Ave Ste 108, Vienna, WV 26105. The listed phone number is (304) 893-9586.

What is Stephen Roush's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Stephen Roush enrolled in Medicare?

Yes. Stephen Roush is registered in the Medicare PECOS enrollment system.

What insurance does Stephen Roush accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia and Providence Health Plan list Stephen Roush as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephen Roush was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.