Active NPI
Shannon Snyder, DPT
- Physical Therapist
- Richmond, VA
National Provider Identifier
1235303645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305204208
- Practice address
- 1600 Westbrook Ave Ste 134
Richmond, VA 23227-3326 - Phone
- (804) 292-3500
- NPI assigned
- Apr 16, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305204208 | VA | Primary |
Addresses
Primary practice location
1600 Westbrook Ave Ste 134
Richmond, VA 23227-3326
Mailing address
1500 Laurel Top Dr Ste D
Midlothian, VA 23114-5152
Phone (804) 955-7253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2305204208 | Other | VA | LICENSE |
Other names 1
- Shannon Kidd
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Midlothian | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Rehabilitation Specialists , Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Richmond, VA
- NPI 1558444513
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1235303645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 LAUREL TOP DR STE D",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231145152",
"telephone_number": "804-955-7253",
"fax_number": "804-783-8212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 WESTBROOK AVE STE 134",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232273326",
"telephone_number": "804-292-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "SHANNON",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305204208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2305204208",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Midlothian",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1600 Westbrook Ave Ste 134",
"city": "Richmond",
"state": "VA",
"country_code": "US",
"postal_code": "232273326",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "KIDD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.