Active NPI
Jannell W Vetter, PT
- Physical Therapist
- Freeburg, IL
National Provider Identifier
1982600375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 102 N State St
Freeburg, IL 62243-1246 - Phone
- (618) 539-3197
- Fax
- (618) 539-3738
- NPI assigned
- Jun 22, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- 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 | IL | Primary |
Addresses
Primary practice location
102 N State St
Freeburg, IL 62243-1246
Mailing address
916 Talon Dr
Ste 102
O Fallon, IL 62269-1848
Phone (618) 628-8211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00200048 | Other | IL | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070005492 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angela Riley, MD, PC | Past | Accepting new patients | |
| Associated Physicians Group, LTD | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- O'Fallon, IL
- NPI 1811940893
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- Oxford, MS
- NPI 1184857534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1982600375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 TALON DR",
"address_2": "STE 102",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691848",
"telephone_number": "618-628-8211",
"fax_number": "618-628-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 N STATE ST",
"city": "FREEBURG",
"state": "IL",
"postal_code": "622431246",
"telephone_number": "618-539-3197",
"fax_number": "618-539-3738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VETTER",
"first_name": "JANNELL",
"middle_name": "W",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00200048",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Freeburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.