Stephanie K Snider, P.T.
Individual provider Active NPI Physical Therapist · Mount Carroll, IL
NPI 1821241456 · NPPES record last updated Jun 4, 2026
Key facts
- NPI
- 1821241456
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070005641 (IL)
- Practice address
- 1120 Healthcare Dr
Mount Carroll, IL 61053-1461 - Phone
- (815) 233-5100
- Fax
- (815) 235-2233
- NPI assigned
- Oct 28, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090205000485 | IL | Practitioner - Physical Therapist in Private Practice | 8325102361 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070005641 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeport Regional Health Care Foundation | Past |
Accepting new patients | |
| Northern Illinois Physical Therapy Services PC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070005641 | IL | Yes |
Addresses
Primary practice location
1120 Healthcare Dr
Mount Carroll, IL 61053-1461
Mailing address
PO Box 268
Freeport, IL 61032-0268
Phone (815) 233-5100
Other providers in Mount Carroll, IL
- Kristen R Simpson
- Sinnissippi Centers, Inc.
- Sinnissippi Centers, Inc.
- Sinnissippi Centers, Inc.
- Laura Marie Smith
- Melody Beth Stauffer
- The Evangelical Lutheran Good Samaritan Society
- Julie Wardell
- Sherry L Wichman
- Amy Wiltshire
All providers in Mount Carroll, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.