Kelli S Snyder, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08041 Issued in LA

Practice address

727 American Way Ste 2
Shreveport, LA 71106-6117

Phone

(318) 841-0696

NPI assigned

Feb 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fultz Physical Therapy and Joint Rehab LLCGroup PAC ID 3072850486, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fultz Physical Therapy and Joint Rehab, LLC

  • Physical Therapist
  • Shreveport, LA
  • NPI 1912473034
  Medicare reassignment Care Compare group NPD
• The Edge Physical Therapy and Sports Science Center

  • Orthopedic Physical Therapist
  • Shreveport, LA
  • NPI 1114154184
  Medicare reassignment NPD

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1083179170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 AMERICAN WAY STE 2",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066117",
            "telephone_number": "318-841-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 AMERICAN WAY STE 2",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066117",
            "telephone_number": "318-841-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "KELLI",
        "middle_name": "S",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Snow
• Theresa Davidson Snow
• Tiffany Dunkentell Snow
• Tyria Lashay Snow
• Yulonda M Snow
• Social Work Professional Services, LLC
• Christopher Sean Sockrider, MD
• Stephanie Ann Sockrider, MD
• Manmohandeep Sohi, MD
• Soleo Health Inc.

• Physical Therapist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.