Individual provider Active NPI

Donald Snyder, P.T.

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1265488415
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0554 Issued in AZ
Practice address
4430 N Alvernon Way
Tucson, AZ 85718-6140
Phone
(520) 975-6734
Fax
(520) 323-6364
NPI assigned
May 26, 2006
Last updated
Aug 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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 0554 AZ Primary

Addresses

Primary practice location

4430 N Alvernon Way
Tucson, AZ 85718-6140

Mailing address

4430 N Alvernon Way
Tucson, AZ 85718-6140
Phone (520) 975-6734

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
554AZMDOral Medicinist
0554AZMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Lowell Physical Therapy, PC PastSince Apr 17, 2006 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, 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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1265488415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 N ALVERNON WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186140",
            "telephone_number": "520-975-6734",
            "fax_number": "520-323-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 N ALVERNON WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186140",
            "telephone_number": "520-975-6734",
            "fax_number": "520-323-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "DONALD",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "0554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.