Sally Joan Schroeter, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160003304 Issued in IL

Practice address

208 Zachery Dr
Mount Vernon, IL 62864-6712

Phone

(618) 244-5580

NPI assigned

Jun 9, 2009

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1487880183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29712 JUNCTION RD",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628017910",
            "telephone_number": "618-780-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 ZACHERY DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646712",
            "telephone_number": "618-244-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROETER",
        "first_name": "SALLY",
        "middle_name": "JOAN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160003304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Schaubert, DPT
• Anton Schittek, M.D.
• Lorianne Catherine Schmider, PHD, LCPC, NCC
• Jaime Schneider, PHARMD
• Katie Marie Schrementi, M.S CCC-SLP
• Stanton G Schultz, M.D.
• Esther Schulz, DO
• Vanessa Lea Schumm, PHARMD
• Amber Phelps Schweda, LCPC
• Raistlyn Scott

• Physical Therapy Assistant in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.