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

Stacie Periclos, PT

Individual provider Pediatric Physical Therapist · NPI 1013359611

Stacie Periclos, PT is a Pediatric Physical Therapist in Vail, Arizona. Licensed in Arizona. Registered with an NPI since 2013.

Licensed in
AZ
In the registry since
2013
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

13801 E Benson Hwy
Vail, AZ 85641-9074
Phone: (520) 879-2052
Show map & directions

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

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 2957 (AZ)

Record details

NPI number1013359611
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 23, 2013
Last updated in NPPESJuly 23, 2013
Mailing address13801 E Benson Hwy, Vail, AZ 85641-9074