Individual provider Active NPI

Ginger Diane Snead, DPT

  • Physical Therapist
  • Indialantic, FL
National Provider Identifier
1306970405
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0013167 Issued in FL
Practice address
150 5TH Ave Ste C
Indialantic, FL 32903-3154
Phone
(305) 304-7842
NPI assigned
Mar 14, 2007
Last updated
Nov 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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 PT0013167 FL Primary

Addresses

Primary practice location

150 5TH Ave Ste C
Indialantic, FL 32903-3154

Mailing address

150 5TH Ave Ste C
Indialantic, FL 32903-3154
Phone (305) 304-7842

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110921000371 FL Practitioner - Physical Therapist in Private Practice 1052581386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2040 Hwy A1A
Suite 203
Indian Harbour Beach, FL 32937-3566
Phone (305) 304-7842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PT0013167FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Breath for Dry Bones Physical Therapy and Wellness, Inc Physical Therapist CurrentSince Mar 26, 2025 Accepting new patients
His Business Not Mine, Inc Physical Therapist CurrentSince Jan 7, 2019 Accepting new patients
Angela Acevedo MD PA Past Accepting new patients

Locations

150 5th Ave
Ste C
Indialantic, FL 32903
Phone (321) 254-6803

417 5th Ave
Apt 101
Indialantic, FL 32903
Phone (305) 304-7842

2040 Highway A1A
Ste 203
Indian Harbour Beach, FL 32937
Phone (321) 773-8989

3830 S Highway A1A
Ste C5
Melbourne Beach, FL 32951
Phone (321) 327-7889

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, 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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1306970405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 5TH AVE STE C",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033154",
            "telephone_number": "305-304-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 5TH AVE STE C",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033154",
            "telephone_number": "305-304-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEAD",
        "first_name": "GINGER",
        "middle_name": "DIANE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0013167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indialantic, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.