Active NPI
Johanna Sno, OTR/L
- Occupational Therapist
- Ballston Spa, NY
National Provider Identifier
1073982054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 019562-1
- Practice address
- 171 Thimbleberry Rd
Ballston Spa, NY 12020-4379 - Phone
- (518) 312-5528
- NPI assigned
- Sep 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 019562-1 | NY | Primary |
Addresses
Primary practice location
171 Thimbleberry Rd
Ballston Spa, NY 12020-4379
Mailing address
171 Thimbleberry Rd
Ballston Spa, NY 12020-4379
Phone (518) 312-5528
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019562-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442620800000",
"number": "1073982054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 THIMBLEBERRY RD",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120204379",
"telephone_number": "518-312-5528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 THIMBLEBERRY RD",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120204379",
"telephone_number": "518-312-5528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNO",
"first_name": "JOHANNA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-19",
"last_updated": "2015-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "019562-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ballston Spa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.