Active NPI
Sara Lorraine Snelling, MPT
- Physical Therapist
- Newburgh, IN
National Provider Identifier
1104566348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05007966A
- Practice address
- 9355 Warrick TRL
Newburgh, IN 47630-0015 - Phone
- (812) 480-4584
- NPI assigned
- Mar 29, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05007966A | IN | Primary |
Addresses
Primary practice location
9355 Warrick TRL
Newburgh, IN 47630-0015
Mailing address
8588 Flintlock Dr
Newburgh, IN 47630-7916
Phone (812) 480-4584
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Newburgh | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9800 Lincoln Ave
Newburgh, IN 47630-2440
Phone (812) 518-9386
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
Locations
9800 Outer Lincln Ave
Newburgh, IN 47630
Phone (812) 518-9386
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
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.
-
- Physical Therapist
- Kokomo, IN
- NPI 1518069913
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1104566348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8588 FLINTLOCK DR",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476307916",
"telephone_number": "812-480-4584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9355 WARRICK TRL",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476300015",
"telephone_number": "812-480-4584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNELLING",
"first_name": "SARA",
"middle_name": "LORRAINE",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-29",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05007966A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Newburgh",
"affiliation": "N",
"endpointDescription": "place of current employment",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Newburgh",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Newburgh",
"address_1": "9355 Warrick Trl",
"city": "Newburgh",
"state": "IN",
"country_code": "US",
"postal_code": "476300015",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.