Timothy Snyder, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37351 Issued in CA

Practice address

644 Bluebird Canyon Dr
Laguna Beach, CA 92651-3301

Phone

(323) 719-7140

NPI assigned

Jul 14, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ascend Coastal Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Laguna Niguel, CA
  • NPI 1881537884
  Medicare reassignment NPD Authorized official
• Mobile Solutions Physical Therapy

  • Physical Therapy Clinic/Center
  • Ladera Ranch, CA
  • NPI 1164793121

  Physical Therapist

  NPD (past)
• Mobile Solutions Physical Therapy Inc

  • Physical Therapist
  • Ladera Ranch, CA
  • NPI 1770820177
  NPD (past)
• Pacific Therapeutic Services Inc

  • Rehabilitation Practitioner
  • Laguna Hills, CA
  • NPI 1962497214

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1275821985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 BLUEBIRD CANYON DR",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513301",
            "telephone_number": "323-719-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 BLUEBIRD CANYON DR",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513301",
            "telephone_number": "323-719-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "TIMOTHY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT37351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Lynne Sitton, MSPT
• Tracey Slater, MS, CCC-SLP
• Edward L Smith, D.O.
• Keri Loraine Smith, B.S.
• Taylor Smith
• Socal Detox, LLC
• Solace Recovery
• Soul Path Wellness Inc.
• South Coast Eye Care Centers
• South Coast Medical Center

• Physical Therapist in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.