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

Stacie Chambliss, PT

Individual provider Physical Therapist · NPI 1780832253

Stacie Chambliss, PT is a Physical Therapist in Private Practice in Mount Vernon, Illinois. Qualified in 2008, 18 years ago. Practices with Orthopaedic Center of Southern Illinois, Ltd, a 20-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
18
Licensed in
IL
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4121 Veterans Memorial Dr
Mount Vernon, IL 62864-6262
Phone: (618) 242-3778
Fax: (618) 242-2551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070016676 (IL)

Record details

NPI number1780832253
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 8, 2008
Last updated in NPPESMay 26, 2010
Mailing address4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Orthopaedic Center Of Southern Illinois, Ltd — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mount Vernon