Craig Jordan Snyder, DC PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0345901 Issued in NY

Practice address

55-77 Schanck Rd Ste B-17
Freehold, NJ 07728-2964

Phone

(732) 414-6060

NPI assigned

Jan 31, 2007

Last updated

May 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CJS Chiropractic

  • Chiropractor
  • Staten Island, NY
  • NPI 1770861429
  Authorized official Same address or phone
• CJS Chiropractic PLLC

  • Chiropractor
  • Staten Island, NY
  • NPI 1194062075
  Authorized official Same address or phone
• Garden State Physical Therapy Group PC

  • Physical Therapy Clinic/Center
  • Freehold, NJ
  • NPI 1801274022

  Physical Therapist

  NPD
• Garden State Spine and Rehabilitation

  • Chiropractor
  • Freehold, NJ
  • NPI 1780282269
  NPD

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1144367848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143503",
            "telephone_number": "718-477-9797",
            "fax_number": "718-720-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55-77 SCHANCK RD STE B-17",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282964",
            "telephone_number": "732-414-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 Victory Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103143503",
            "country_code": "US",
            "telephone_number": "718-477-9797",
            "fax_number": "718-720-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "CRAIG",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DC PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008716-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0345901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.