Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacey Mitchell, DPT

Individual provider Physical Therapist · NPI 1114514999

Stacey Mitchell, DPT is a Physical Therapist in Private Practice in Danville, Illinois. Qualified in 2005, 21 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Tennessee.

Years since qualifying
21
Licensed in
IL, TN
In the registry since
2020
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

2 E Main St Ste 102
Danville, IL 61832-5844
Phone: (217) 709-9000
Fax: (217) 709-9001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 68 Airport Rd, Savoy, IL 61874-9809 — (217) 359-6224
  • 3601 The Vanderbilt Clinic, Nashville, TN 37232-5844 — (615) 322-5000

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070017140 (IL)
Physical Therapist Taxonomy 225100000X · Licence 16076 (TN)

Record details

NPI number1114514999
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 28, 2020
Last updated in NPPESJanuary 14, 2025
Certification dateDecember 16, 2024
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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