Individual provider Active NPI

David Snyder, PT

  • Physical Therapist
  • San Mateo, CA
National Provider Identifier
1245322536
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25462 Issued in CA
Practice address
540 W Hillsdale Blvd
San Mateo, CA 94403-3805
Phone
(650) 219-5229
NPI assigned
Sep 28, 2006
Last updated
Oct 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25462 CA Primary

Addresses

Primary practice location

540 W Hillsdale Blvd
San Mateo, CA 94403-3805

Mailing address

540 W Hillsdale Blvd
San Mateo, CA 94403-3805
Phone (650) 219-5229

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
PT25462CAMDLicensed Psychiatric Technician
25462CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
City and County of San Francisco PastSince Jul 1, 2017 Accepting new patients
Carrola Physical Therapy,Inc. Physical Therapist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1245322536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W HILLSDALE BLVD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033805",
            "telephone_number": "650-219-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W HILLSDALE BLVD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033805",
            "telephone_number": "650-219-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "DAVID",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.