Individual provider Active NPI

Bridget L Sniadecki, PTA

  • Physical Therapy Assistant
  • South Bend, IN
National Provider Identifier
1124183579
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
06003227A Issued in IN
Practice address
1005 N Hickory Rd
South Bend, IN 46615-3723
Phone
(574) 233-5754
Fax
(574) 233-7406
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 06003227A IN Primary

Addresses

Primary practice location

1005 N Hickory Rd
South Bend, IN 46615-3723

Mailing address

56589 Butternut Rd
South Bend, IN 46619-2203
Phone (574) 233-5754

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

LicenseStateTypeSpecialty
06003227AINMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McDonald Physical Therapy PastSince Mar 4, 2013 Accepting new patients
McDonald Physical Therapy and Sports Rehabilitation Center Physical Therapy Assistant PastSince Aug 17, 2025 Accepting new patients

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124183579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56589 BUTTERNUT RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466192203",
            "telephone_number": "574-233-5754",
            "fax_number": "574-233-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N HICKORY RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153723",
            "telephone_number": "574-233-5754",
            "fax_number": "574-233-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIADECKI",
        "first_name": "BRIDGET",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06003227A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.