Individual provider Active NPI

Sheryl Snyder-Everitt

  • Physical Therapy Assistant
  • Muncy, PA
National Provider Identifier
1043862063
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TEI003909 Issued in PA
Practice address
50 Fitness Dr
Muncy, PA 17756-8399
Phone
(570) 546-0999
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X TEI003909 PA Primary

Addresses

Primary practice location

50 Fitness Dr
Muncy, PA 17756-8399

Mailing address

1011 Monroe Rd
Montoursville, PA 17754-1117
Phone (570) 220-6850

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TEI003909PAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Williamsport Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sheryl.e.snydereveritt@upmcdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1043862063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 MONROE RD",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "177541117",
            "telephone_number": "570-220-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FITNESS DR",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177568399",
            "telephone_number": "570-546-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER-EVERITT",
        "first_name": "SHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI003909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncy, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.