STACIE PERICLOS (NPI# 1013359611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013359611 |
| Entity Type | Individual |
| Full Name | STACIE PERICLOS |
| Credential | P.T. |
| Practice Address |
13801 E Benson Hwy Vail AZ 85641-9074 |
| Practice Telephone | 5208792052 |
| Mailing Telephone | 5208792052 |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
2957 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 1952438368 | 05 |
| Street Address |
13801 E BENSON HWY |
| City | VAIL |
| State | AZ |
| Zip Code | 85641-9074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184735375 | Kelley K Redwine | Occupational Therapist | 13801 E Benson Hwy, Vail, AZ 85641-9074 | 2006-08-31 |
| 1578160677 | Rayna Macfarlane | Physical Therapy Assistant | 13801 E Benson Hwy, Vail, AZ 85641-9074 | 2020-10-02 |
| 1306301155 | Peggie Jeanne Krause-pittenridge | Licensed Practical Nurse | 13801 E Benson Hwy, Vail, AZ 85641-9074 | 2019-02-06 |
| 1235677188 | Mary Louise Hesterwerth | Occupational Therapist | 13801 E Benson Hwy, Vail, AZ 85641-9074 | 2017-02-10 |
| 1114385135 | Hope Hengsteler | Licensed Practical Nurse | 13801 E Benson Hwy, Vail, AZ 85641-9074 | 2016-02-04 |
| 1134594724 | Nancy C Faria | Occupational Therapy Assistant | 13801 E Benson Hwy, Vail, AZ 85641-9074 | 2015-12-08 |
| 1306213012 | Danielle Lowthian | Specialist | 13801 E Benson Hwy, Vail, AZ 85641-9074 | 2015-08-28 |
| 1922409440 | Jennifer Marseglia | Community Health Worker | 13801 E Benson Hwy, Vail, AZ 85641-9074 | 2014-09-16 |
| 1164857728 | Angela Christine Garcia | Specialist/Technologist | 13801 E Benson Hwy, Vail, AZ 85641-9074 | 2013-09-13 |
| 1124387295 | Shannon Murphy | Physical Therapist | 13801 E Benson Hwy, Vail, AZ 85641-9074 | 2012-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457814063 | Dentists of Vail, LLP | Dentist | 13410 E. Mary Ann Cleveland Way, Vail, AZ 85641 | 2019-04-10 |
| 1023560885 | Danielle Marie Villatoro | Nurse Practitioner | 9731 S Camino De La Calinda, Vail, AZ 85641 | 2016-10-27 |
| 1407254394 | Carol Vallecalle | Contractor | 12119 E. Metz Dr, Vail, AZ 85641 | 2014-12-09 |
| 1700214103 | Sarah Watza | Speech-Language Pathologist | 13801 E. Benson Hwy, Vail, AZ 85641 | 2013-10-22 |
| 1982985818 | Vanica Caswell | Registered Nurse | 11581 S. Mary Jane Warner Dr., Vail, AZ 85641 | 2011-09-06 |
| 1518299585 | James Shea Connolly | Respiratory Therapist, Registered | 9406 S. Leon Ranch Road, Vail, AZ 85641 | 2010-02-02 |
| 1477792158 | Julie C Duvall | Psychologist | 13801 E. Benson Highway, Vail, AZ 85641 | 2009-02-19 |
| 1952581720 | Sarah G. Grether | Psychologist | Vail School District, 13801 E. Benson Hwy., Vail, AZ 85641 | 2007-11-09 |
| 1902027915 | Yvonne Barnett | Speech-Language Pathologist | 13801 East Benson Highway, Vail, AZ 85641 | 2007-05-01 |
| 1922171586 | Sue Ellen Anderson | Respite Care | 13588 E Yorkie Place, Vail, AZ 85641 | 2006-11-15 |
| Find all providers in zip 85641 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821640657 | Eneida Oswalt | Physical Therapist | 1633 E Lakeside Dr Unit 133, Gilbert, AZ 85234-4971 | 2019-07-11 |
| 1124506688 | Az Therapy Spot, LLC | Physical Therapist | 3731 S Barberry Pl, Chandler, AZ 85248-4305 | 2018-08-06 |
| 1770083180 | Mariah Ashley Devries | Physical Therapist | 14557 W Indian School Rd Ste 500b, Goodyear, AZ 85395-9218 | 2018-02-13 |
| 1457805954 | Westergard Physical Therapy, Pllc | Physical Therapist | 1349 S Pheasant Dr, Gilbert, AZ 85296-9699 | 2016-08-12 |
| 1649656802 | Stephanie Michelle O'malley | Physical Therapist | 1007 N 7th St, Phoenix, AZ 85006-2728 | 2015-08-10 |
| 1215285150 | Bonnie Lynn Marlow | Physical Therapist | 8225 E Indianola Ave, Scottsdale, AZ 85251-4837 | 2012-08-27 |
| 1033478573 | Janelle Wong | Physical Therapist | 5314 N. 7th St., Phoenix, AZ 85014 | 2012-05-03 |
| 1013226182 | Joshua Bitton | Physical Therapist | 352 E Camelback Rd Ste 102, Phoenix, AZ 85012-1646 | 2010-10-06 |
| 1407164155 | Audra Pratt | Physical Therapist | 3214 W Louise Dr, Phoenix, AZ 85027-1627 | 2010-09-15 |
| 1558675918 | Sunny Days Pediatric Therapy | Physical Therapist | 870 E Lodgepole Ct, Gilbert, AZ 85298-7311 | 2010-07-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.