Active NPI
Susan Tinkelenberg Snyder, PT
- Contractor
- Conover, NC
National Provider Identifier
1265586515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 3806
- Practice address
- 2372 Eagle Dr NE
Conover, NC 28613-9497 - Phone
- (828) 459-9000
- Fax
- (828) 459-7610
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 3806 | NC | Primary |
Addresses
Primary practice location
2372 Eagle Dr NE
Conover, NC 28613-9497
Mailing address
2974 Ninth Tee Dr
Newton, NC 28658-8575
Phone (828) 465-2651
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3806 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Beginnings Pediatric Therapy, LLC | 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.
-
- Pediatric Physical Therapist
- Conover, NC
- NPI 1417934407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265586515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2974 NINTH TEE DR",
"city": "NEWTON",
"state": "NC",
"postal_code": "286588575",
"telephone_number": "828-465-2651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2372 EAGLE DR NE",
"city": "CONOVER",
"state": "NC",
"postal_code": "286139497",
"telephone_number": "828-459-9000",
"fax_number": "828-459-7610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "SUSAN",
"middle_name": "TINKELENBERG",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NC",
"license": "3806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conover, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.