Active NPI
Jacob G Snyder, DPT
- Physical Therapist
- Palos Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.027315
- Practice address
- 12251 S 80TH Ave
Palos Heights, IL 60463-1290 - Phone
- (708) 923-4000
- NPI assigned
- Feb 13, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.027315 | IL | Primary |
Addresses
Primary practice location
12251 S 80TH Ave
Palos Heights, IL 60463-1290
Mailing address
19432 Kylemore LN
Mokena, IL 60448-8003
Phone (708) 937-4141
Other practice location 1
7040 Centennial Dr
Tinley Park, IL 60477-1649
Phone (708) 400-8063
Other practice location 2
15915 S Crystal Creek Dr Ste H
Homer Glen, IL 60491-9381
Phone (708) 400-8063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9019 Willow LN
Mokena, IL 60448-8374
Phone (708) 691-4890
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.027315 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livestrong Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Livestrong Medical PLLC | Current | Accepting new patients |
Locations
15915 S Crystal Creek Dr
Ste H
Homer Glen, IL 60491
Phone (708) 400-8063
15915 S Crystal Creek Dr
Homer Glen, IL 60491
Phone (708) 301-9596
7040 Centennial Dr
Tinley Park, IL 60477
Phone (708) 400-8063
Organizations & group practices 2
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.
-
- Nurse Practitioner
- Mokena, IL
- NPI 1710799788
-
- Physical Therapist
- Homer Glen, IL
- NPI 1376178962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1790540342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19432 KYLEMORE LN",
"city": "MOKENA",
"state": "IL",
"postal_code": "604488003",
"telephone_number": "708-937-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12251 S 80TH AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631290",
"telephone_number": "708-923-4000"
}
],
"practiceLocations": [
{
"address_1": "7040 Centennial Dr",
"address_purpose": "LOCATION",
"city": "Tinley Park",
"state": "IL",
"postal_code": "604771649",
"country_code": "US",
"telephone_number": "708-400-8063",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15915 S Crystal Creek Dr Ste H",
"address_purpose": "LOCATION",
"city": "Homer Glen",
"state": "IL",
"postal_code": "604919381",
"country_code": "US",
"telephone_number": "708-400-8063",
"fax_number": "708-400-8706",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNYDER",
"first_name": "JACOB",
"middle_name": "G",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-13",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.027315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.