Active NPI
Jeanette Marie Brown-Snyder, PT
- Physical Therapist
- Clackamas, OR
National Provider Identifier
1346796752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61936
- Practice address
- 10121 SE Sunnyside Rd
Suite 210
Clackamas, OR 97015-5745 - Phone
- (360) 735-7155
- NPI assigned
- Aug 27, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 61936 | OR | Primary |
Addresses
Primary practice location
10121 SE Sunnyside Rd
Suite 210
Clackamas, OR 97015-5745
Mailing address
3933 E Stapp CT
Visalia, CA 93292-7076
Phone (559) 690-0769
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 |
|---|---|---|---|
| 61936 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Home Health Northwest 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.
-
- Home Health Agency
- Bend, OR
- NPI 1477929776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472256000000",
"number": "1346796752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3933 E STAPP CT",
"city": "VISALIA",
"state": "CA",
"postal_code": "932927076",
"telephone_number": "559-690-0769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10121 SE SUNNYSIDE RD",
"address_2": "SUITE 210",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155745",
"telephone_number": "360-735-7155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN-SNYDER",
"first_name": "JEANETTE",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-27",
"last_updated": "2016-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "61936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.