Amanda Nichole Snyder, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016469 Issued in OH

Practice address

813 Boardman Poland Rd
Suite 12B
Boardman, OH 44512-5129

Phone

(330) 729-9448

Fax

(330) 729-9450

NPI assigned

Aug 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda Nichole Schuller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1134528276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 DERRY ST",
            "address_2": "2ND FLOOR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113576",
            "telephone_number": "717-839-2110",
            "fax_number": "717-565-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 BOARDMAN POLAND RD",
            "address_2": "SUITE 12B",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125129",
            "telephone_number": "330-729-9448",
            "fax_number": "330-729-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "AMANDA",
        "middle_name": "NICHOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT016469",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SCHULLER",
            "middle_name": "NICHOLE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grace L. Smith, M.D.
• Katelyn Marie Smith, RBT
• Shannon L Smith, LMT
• Tina Marie Smith, P.A.
• Yolanda M Smith
• Andrea Jill Snyder, PHD
• Carrie Lynn Snyder, M.S., BCBA, COBA
• Phil J Snyder, DDS
• Stephen Snyder
• South Avenue Assisted Living, LLC

• Physical Therapist in Boardman, OH
• Providers in Boardman, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.