Individual provider Active NPI

Jeffrey M Snyder, DPT

  • Physical Therapist
  • Parker, CO
National Provider Identifier
1215570726
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16711 Issued in CO
Practice address
19964 Hilltop Rd Ste B
Parker, CO 80134-7317
Phone
(303) 840-4667
Fax
(303) 840-4658
NPI assigned
Oct 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 007762 KY
Physical Therapist 225100000X 16711 CO Primary

Addresses

Primary practice location

19964 Hilltop Rd Ste B
Parker, CO 80134-7317

Mailing address

19964 Hilltop Rd Ste B
Parker, CO 80134-7317
Phone (303) 840-4667

Other practice location 1

1275 W Pueblo Blvd
Pueblo, CO 81004-3866
Phone (719) 542-0589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191203000555 CO Practitioner - Physical Therapist in Private Practice 9830522085 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16711COMDPhysical Therapist
007762KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics & Spine Center, PC CurrentSince Mar 22, 2021 Accepting new patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Mar 22, 2021 Accepting new patients

Locations

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

19964 Hilltop Rd
Ste B
Parker, CO 80134
Phone (303) 840-4667

Organizations & group practices 3

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": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1215570726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19964 HILLTOP RD STE B",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347317",
            "telephone_number": "303-840-4667",
            "fax_number": "303-840-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19964 HILLTOP RD STE B",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347317",
            "telephone_number": "303-840-4667",
            "fax_number": "303-840-4658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1275 W Pueblo Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810043866",
            "country_code": "US",
            "telephone_number": "719-542-0589",
            "fax_number": "719-542-0119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-28",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007762",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "16711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.