Individual provider Active NPI

Shawn Justin Snead, MS, LAT, ATC

  • Athletic Trainer
  • South Riding, VA
National Provider Identifier
1093603979
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0126003745 Issued in VA
Practice address
24790 Meadows Farms CT
South Riding, VA 20152-3000
Phone
(703) 372-4445
NPI assigned
Jun 27, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0126003745 VA Primary

Addresses

Primary practice location

24790 Meadows Farms CT
South Riding, VA 20152-3000

Mailing address

43835 Timber SQ Unit 107
Leesburg, VA 20176-3436

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0126003745VAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Chiron Diagnostics, LLC CurrentSince Jun 29, 2025 Accepting new patients
Chiron Physical Therapy of VA, LLC CurrentSince Jun 29, 2025 Accepting new patients

Locations

24790 Meadows Farms Ct
South Riding, VA 20152
Phone (703) 372-4445

Organizations & group practices 2

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": "1750982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1093603979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43835 TIMBER SQ UNIT 107",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24790 MEADOWS FARMS CT",
            "city": "SOUTH RIDING",
            "state": "VA",
            "postal_code": "201523000",
            "telephone_number": "703-372-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEAD",
        "first_name": "SHAWN",
        "middle_name": "JUSTIN",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126003745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Riding, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.