Bethany Snow, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201005076 Issued in MI

Practice address

1780 E Grand River Ave
East Lansing, MI 48823-4998

Phone

(517) 980-0823

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Therpists on the Move PC

  • Physical Therapy Clinic/Center
  • Howell, MI
  • NPI 1568697969
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1093815201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 DOBIE RD",
            "address_2": "STE 270",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646909",
            "telephone_number": "517-980-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 E GRAND RIVER AVE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234998",
            "telephone_number": "517-980-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "BETHANY",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201005076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "30658",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "64-00940",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert C Smith, M.D.
• Robert Dean Smith, PH.D
• Tyler Smith
• Shelley Bea Smithson, PH.D., M.S.W.
• Gina Marie Snoeyink, LMSW
• Solace & Bloom Counseling LLC
• Hannah Jo Solack
• Ahmed Zaghloul Soliman, M.D.
• Laryssa Danae Solomon
• Kayla Somsel

• Occupational Therapist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.