Active NPI
Bruce Randolph Snow, PT,MS,OSC
- Physical Therapist
- Grove Hill, AL
National Provider Identifier
1013909779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4140
- Practice address
- 295 S Jackson St
Grove Hill, AL 36451-3231 - Phone
- (251) 275-4905
- Fax
- (251) 275-7906
- NPI assigned
- Aug 18, 2005
- Sex
- Male
- 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 | 4140 | AL | Primary |
Addresses
Primary practice location
295 S Jackson St
Grove Hill, AL 36451-3231
Mailing address
PO Box 37
Jackson, AL 36545-0037
Phone (251) 246-5761
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4140 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1013909779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37",
"city": "JACKSON",
"state": "AL",
"postal_code": "365450037",
"telephone_number": "251-246-5761",
"fax_number": "251-246-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 S JACKSON ST",
"city": "GROVE HILL",
"state": "AL",
"postal_code": "364513231",
"telephone_number": "251-275-4905",
"fax_number": "251-275-7906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOW",
"first_name": "BRUCE",
"middle_name": "RANDOLPH",
"name_prefix": "Mr.",
"credential": "PT,MS,OSC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "4140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grove Hill, AL
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.