Individual provider Active NPI

Robert Snyder, PT, DPT, LAT, ATC

  • Physical Therapist
  • Mechanicsburg, PA
National Provider Identifier
1295189975
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT030704 Issued in PA
Practice address
2 Kacey CT Ste 102
Mechanicsburg, PA 17055-9230
Phone
(717) 591-1807
NPI assigned
Apr 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X RT005975 PA
Physical Therapist 225100000X PT030704 PA Primary

Addresses

Primary practice location

2 Kacey CT Ste 102
Mechanicsburg, PA 17055-9230

Mailing address

2713 Columbia Ave
Camp Hill, PA 17011-5312
Phone (717) 350-9552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117001518 PA Practitioner - Physical Therapist in Private Practice 6103278965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PHS Physical Therapy LLCGroup PAC ID 9234454851, 26 clinicians

Practice addresses (Care Compare)

820 Sir Thomas CT
Harrisburg, PA 17109-4839
Phone (717) 652-9555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RT005975PAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
PHS Physical Therapy, LLC Physical Therapist CurrentSince Dec 9, 2023 Accepting new patients
Novacare Outpatient Rehabilitation East Inc PastSince Sep 4, 2022 Accepting new patients
FC Select LLC Physical Therapist PastSince Sep 4, 2022 Accepting new patients

Locations

1535 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 625-5731

5202 Simpson Ferry Rd
Ste 100
Mechanicsburg, PA 17050
Phone (717) 361-7414

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1295189975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 COLUMBIA AVE",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170115312",
            "telephone_number": "717-350-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KACEY CT STE 102",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170559230",
            "telephone_number": "717-591-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "ROBERT",
        "credential": "PT, DPT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT005975",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.