Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Stacie Chambliss, PT

Individual provider Physical Therapist · NPI 1780832253

Stacie Chambliss, PT is registered under 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.

See every abbreviation used in this directory →

Practice location Address checks out

4121 Veterans Memorial Dr
Mount Vernon, IL 62864-6262 Not confirmed with CMS for 16 years — call before visiting
Phone: (618) 242-3778
Fax: (618) 242-2551
Show map & directions

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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients200
Services billed 1,423 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Orthopaedic Center of Southern Illinois, Ltd

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 20 clinicians in the practice; 11 are shown here.

Other providers in Mount Vernon