Stacy L Schreiber

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.020881 Issued in IL

Practice address

1050 Fountain Lakes Dr
O Fallon, IL 62269-2595

Phone

(779) 713-0903

NPI assigned

Aug 22, 2014

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

Other names 1

• Stacy L Strieker Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Powerback Rehabilitation LLC

  • Physical Therapist
  • O Fallon, IL
  • NPI 1982018362
  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761
  NPD

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1407255771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 OLD VINCENNES TRL",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622694115",
            "telephone_number": "618-795-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 FOUNTAIN LAKES DR",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692595",
            "telephone_number": "779-713-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREIBER",
        "first_name": "STACY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-22",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.020881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "STRIEKER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madeleine Claire Schlimme
• Gladys Schmees, FNP
• Amanda S Schmitt, ACNP
• Carmen Jean Schott, LCSW, LISW
• Kara Lynn Schreder, D.M.D.
• Margaret M Schuch, CRNA
• Edward C Schuessler, M.D.
• Dale Allen Schutte, D.D.S
• Halle Schwalenberg
• Skylar Shay Schwertner

• Physical Therapist in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.