IndividualActive
Sally Schroeter, PTA
NPI 1487880183 · Physical Therapy Assistant · Mount Vernon, IL
Provider details
- NPI number
- 1487880183
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 160003304 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
208 Zachery Dr
Mount Vernon, IL 62864-6712
Phone: (618) 244-5580
Street-level locationGet directions
Mailing address
29712 Junction Rd
Centralia, IL 62801-7910
Registry dates
- Enumerated
- 2009-06-09
- Last updated
- 2009-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.