Samantha Ritter, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.023954 Issued in IL

Practice address

125 N Cedar St
Waterman, IL 60556

Phone

(815) 264-8600

NPI assigned

Oct 23, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wylde Physical Therapy LLCGroup PAC ID 0941257760, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wylde Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Waterman, IL
  • NPI 1740406123
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1356940936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W CHEROKEE AVE",
            "city": "SHABBONA",
            "state": "IL",
            "postal_code": "605509774",
            "telephone_number": "815-993-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N CEDAR ST",
            "city": "WATERMAN",
            "state": "IL",
            "postal_code": "60556",
            "telephone_number": "815-264-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTER",
        "first_name": "SAMANTHA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.023954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sinamis Idrei, MD
• Lea Quitania Lisowski, M.D.
• Elizabeth Nielsen, SLP
• Maria Wanda Olson, PT SCS
• Molly Marion Rademacher, M.A., CF-SLP
• Ginger D Ryan, RBT
• Tiny Voice Therapy Services
• Tiny Voice Therapy Services LLC
• Waterman Community Fire Protection District
• Wylde Physical Therapy, LLC

• Physical Therapist in Waterman, IL
• Providers in Waterman, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.