MRS. SAMANTHA RITTER (DPT) – Physical Therapist, NPI 1356940936

MRS. SAMANTHA RITTER (DPT) is a healthcare provider. based in Shabbona, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 070.023954 (IL). The NPI Number for MRS. SAMANTHA RITTER (DPT) is 1356940936

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SAMANTHA RITTER (DPT)
NPI
1356940936
Phone
(815) 993-1464
Address
512 W CHEROKEE AVE
Enumeration Date
23 October 2020
Last Update Date
23 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8152648600
Graduation Year
2018 (8 years ago)
PAC ID
4183036452
Group Practice PAC ID
0941257760
Professional Enrollment ID
I20201210000092
Address ID
IL605564000WA320XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for MRS. SAMANTHA RITTER (DPT)

  • 512 W CHEROKEE AVE

    SHABBONA, IL 605509774

    Phone: (815) 993-1464

    Type: Mailing

  • 125 N CEDAR ST

    WATERMAN, IL 60556

    Phone: (815) 264-8600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-12-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201210000092IPhysical Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,66747$0
97140Therapy procedure using manual technique, each 15 minutes47441$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes3913$0
97162Evaluation for physical therapy, typically 30 minutes2117$0
97161Evaluation for physical therapy, typically 20 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 60550)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941257760View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Is MRS. SAMANTHA RITTER (DPT) listed with a National Provider Identifier?
Yes — MRS. SAMANTHA RITTER (DPT) has NPI 1356940936 on file in the registry.
Is there an active status for MRS. SAMANTHA RITTER (DPT)?
For scheduling context, MRS. SAMANTHA RITTER (DPT) is shown as active in the registry.
What kind of doctor is MRS. SAMANTHA RITTER (DPT)?
MRS. SAMANTHA RITTER (DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. SAMANTHA RITTER (DPT)?
Directory geography for MRS. SAMANTHA RITTER (DPT) centers on Shabbona, Illinois.
Can I trust this NPI listing for MRS. SAMANTHA RITTER (DPT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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