Active NPI
Holly A. Snow, PTA, ACMT
- Physical Therapy Assistant
- Overland Park, KS
National Provider Identifier
1194007641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1402216
- Practice address
- 10300 W 103Rd St Ste 300
Overland Park, KS 66214-2658 - Phone
- (903) 894-1910
- Fax
- (913) 894-1174
- NPI assigned
- Sep 11, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1402216 | KS | Primary |
| Physical Therapy Assistant | 225200000X | 2011008020 | MO | |
| Physical Therapy Assistant | 225200000X | 06002725A | IN | |
| Massage Therapist | 225700000X | MT20902520 | IN |
Addresses
Primary practice location
10300 W 103Rd St Ste 300
Overland Park, KS 66214-2658
Mailing address
15005 Grand Summit Blvd Apt 206
Grandview, MO 64030-2782
Phone (260) 602-5532
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06002725A | IN | MD | Physical Therapy Assistant |
| 1402216 | KS | MD | Physical Therapy Assistant |
| 2011008020 | MO | MD | Physical Therapy Assistant |
| MT20902520 | IN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315699200000",
"number": "1194007641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15005 GRAND SUMMIT BLVD APT 206",
"city": "GRANDVIEW",
"state": "MO",
"postal_code": "640302782",
"telephone_number": "260-602-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 W 103RD ST STE 300",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662142658",
"telephone_number": "903-894-1910",
"fax_number": "913-894-1174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOW",
"first_name": "HOLLY",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "PTA, ACMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-11",
"last_updated": "2011-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KS",
"license": "1402216",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2011008020",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06002725A",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IN",
"license": "MT20902520",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.