Active NPI
Eric Michael Snowball, OTRL
- Occupational Therapist
- Lakeland, FL
National Provider Identifier
1285753053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 4485
- Practice address
- 4240 Lakeland Highlands Rd
Lakeland, FL 33813-3113 - Phone
- (863) 607-5940
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 4485 | FL | Primary |
Addresses
Primary practice location
4240 Lakeland Highlands Rd
Lakeland, FL 33813-3113
Mailing address
5655 Summerland Hills Circle
Lakeland, FL 33812-6366
Phone (863) 619-2298
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 |
|---|---|---|---|
| OT 4485 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285753053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5655 SUMMERLAND HILLS CIRCLE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338126366",
"telephone_number": "863-619-2298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4240 LAKELAND HIGHLANDS RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338133113",
"telephone_number": "863-607-5940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOWBALL",
"first_name": "ERIC",
"middle_name": "MICHAEL",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 4485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
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.