Individual provider Active NPI

Janelle Mary Snyder, PT, DPT

  • Pediatric Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1194217851
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
05012160A Issued in IN
Practice address
7910 E Washington St Ste 150
Indianapolis, IN 46219-5563
Phone
(317) 355-1330
NPI assigned
May 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 05012160A IN Primary

Addresses

Primary practice location

7910 E Washington St Ste 150
Indianapolis, IN 46219-5563

Mailing address

3000 S State Road 135
Ste 110
Greenwood, IN 46143-9829
Phone (317) 535-4075

Other practice location 1

3000 S State Road 135 Ste 110
Greenwood, IN 46143-9829
Phone (317) 535-4075

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
05012160AINMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Irvington Radiologists PC Past Accepting new patients
Community Health Network, Inc Past 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": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1194217851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 S STATE ROAD 135",
            "address_2": "STE 110",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461439829",
            "telephone_number": "317-535-4075",
            "fax_number": "317-535-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 E WASHINGTON ST STE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462195563",
            "telephone_number": "317-355-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 S State Road 135 Ste 110",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461439829",
            "country_code": "US",
            "telephone_number": "317-535-4075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JANELLE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IN",
            "license": "05012160A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.