Active NPI
Tammy Clark Snyder, PTA
- Physical Therapy Assistant
- Sissonville, WV
National Provider Identifier
1386833002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 825
- Practice address
- 302 Cedar Ridge Rd
Sissonville, WV 25320-9502 - Phone
- (304) 984-0046
- NPI assigned
- Oct 18, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Physical Therapy Assistant | 225200000X | 825 | WV | Primary |
Addresses
Primary practice location
302 Cedar Ridge Rd
Sissonville, WV 25320-9502
Mailing address
RR 2 Box 7a
Letart, WV 25253-9603
Phone (304) 895-8810
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 |
|---|---|---|---|
| 825 | WV | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1386833002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 2 BOX 7A",
"city": "LETART",
"state": "WV",
"postal_code": "252539603",
"telephone_number": "304-895-8810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 CEDAR RIDGE RD",
"city": "SISSONVILLE",
"state": "WV",
"postal_code": "253209502",
"telephone_number": "304-984-0046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "TAMMY",
"middle_name": "CLARK",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-18",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WV",
"license": "825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sissonville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.