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

Staci A Burris, PTA

Individual provider Physical Therapy Assistant · NPI 1003428806

Staci A Burris, PTA is a Physical Therapy Assistant in East Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

900 Centennial Dr # 30
East Peoria, IL 61611-4928
Phone: (309) 699-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160005049 (IL)

Record details

NPI number1003428806
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 21, 2020
Last updated in NPPESAugust 21, 2020
Certification dateAugust 21, 2020
Mailing address1141 N Nancy St, East Peoria, IL 61611-9554

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