JACOB G SNYDER (DPT) – Physical Therapist, NPI 1790540342

JACOB G SNYDER (DPT) is a healthcare provider. based in Tinley park, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 070.027315 (IL). The NPI Number for JACOB G SNYDER (DPT) is 1790540342

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JACOB G SNYDER (DPT)
NPI
1790540342
Phone
(708) 400-8063
Address
7040 Centennial Dr
Enumeration Date
13 February 2024
Last Update Date
25 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7086914890
Graduation Year
2022 (4 years ago)
PAC ID
6204274368
Group Practice PAC ID
3476082850
Professional Enrollment ID
I20240409001497
Address ID
IL604488374MO9019XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for JACOB G SNYDER (DPT)

  • 7040 Centennial Dr

    Tinley Park, IL 604771649

    Phone: (708) 400-8063

    Type: Location

  • 15915 S Crystal Creek Dr Ste H

    Homer Glen, IL 604919381

    Phone: (708) 400-8063

    Fax: (708) 400-8706

    Type: Location

  • 19432 KYLEMORE LN

    MOKENA, IL 604488003

    Phone: (708) 937-4141

    Type: Mailing

  • 12251 S 80TH AVE

    PALOS HEIGHTS, IL 604631290

    Phone: (708) 923-4000

    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: 2024-04-09

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
I20240409001497IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60477)

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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: 3476082850View full group profile
NameSpecialtyState
Nurse PractitionerIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physician AssistantIL
Occupational Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What federal number belongs to JACOB G SNYDER (DPT)?
The federal identifier for JACOB G SNYDER (DPT) is NPI 1790540342.
Is JACOB G SNYDER (DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JACOB G SNYDER (DPT) work in?
You can think of JACOB G SNYDER (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place JACOB G SNYDER (DPT)?
The snapshot lists Tinley Park, Illinois for JACOB G SNYDER (DPT); download NPPES for the complete set.
How can I contact JACOB G SNYDER (DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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