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STACIE PERICLOS P.T.
NPI 1013359611
Physical Therapist - Pediatrics in Vail, AZ

Active since July 23, 2013
13801 E BENSON HWY, VAIL, AZ 85641(520) 879-2052 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacie Periclos P.t. NPPES

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

STACIE PERICLOS P.T. (NPI 1013359611) is an individual pediatrics provider in Vail, Arizona, licensed in Arizona (2957) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1013359611
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameSTACIE PERICLOSCredential: P.T.
Location Address13801 E BENSON HWYVail, AZ 85641-9074
Mailing Address13801 E Benson HwyVail, AZ 85641-9074 · (520) 879-2052
Phone(520) 879-2052
Sole ProprietorNo
Enumeration DateJuly 23, 2013
✔ NPI 1013359611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in AZ · 2957
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
13801 E BENSON HWY, Vail, AZ 85641
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Other Identifiers 1

Medicaid1952438368AZ

Other Providers at the Same Location NPPES 20

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

HOPE HENGSTELER LPN
Licensed Practical Nurse
13801 E BENSON HWY
VAIL, AZ 85641
Pima County (520) 879-2046
SHANNON MURPHY PT
Physical Therapist
13801 E BENSON HWY
VAIL, AZ 85641
Pima County (520) 879-2084
NANCY C FARIA
Occupational Therapy Assistant
13801 E BENSON HWY
VAIL, AZ 85641
Pima County (520) 879-2000
SSUE STEER
Speech-Language Pathologist
13801 E BENSON HWY
VAIL, AZ 85641
Pima County (520) 762-2011
ANGELA CHRISTINE GARCIA SLPA
Specialist/Technologist (Speech-Language Assistant)
13801 E BENSON HWY
VAIL, AZ 85641
Pima County (520) 879-2072
MRS. DIANE CHRISTINE KENT SLP, B.A
Speech-Language Pathologist
13801 E BENSON HWY
VAIL, AZ 85641
Pima County (520) 879-2074
DR. MARY LOUISE ELAINE MONTGOMERY OTD, OTR/L
Occupational Therapist (Pediatrics)
13801 E BENSON HWY
VAIL, AZ 85641
Pima County (510) 204-2672
JENNIFER LYNN GARCIA COTA
Occupational Therapy Assistant
13801 E BENSON HWY
VAIL, AZ 85641
Pima County (719) 406-5593

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 Stacie Periclos's NPI number?

The NPI number for Stacie Periclos is 1013359611. It was assigned to this individual provider in the NPPES registry on July 23, 2013.

Where is Stacie Periclos located?

Stacie Periclos practices at 13801 E Benson Hwy, Vail, AZ 85641. The listed phone number is (520) 879-2052.

What is Stacie Periclos's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Stacie Periclos was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.