Individual provider Active NPI

Stephen P Sneider, PT

  • Physical Therapist
  • Sandusky, OH
National Provider Identifier
1396728408
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT006867 Issued in OH
Practice address
1401 Bone Creek Dr
Sandusky, OH 44870-7267
Phone
(419) 625-4900
Fax
(419) 621-9768
NPI assigned
Nov 22, 2005
Last updated
Aug 28, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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 PT006867 OH Primary

Addresses

Primary practice location

1401 Bone Creek Dr
Sandusky, OH 44870-7267

Mailing address

1401 Bone Creek Dr
Sandusky, OH 44870-7267
Phone (419) 625-4900

Other identifiers 1

IdentifierTypeStateIssuer
000000344036OtherOHANTHEM BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060502000364 OH Practitioner - Physical Therapist in Private Practice 1557371879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Toledo College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

112 Independence Way
Suite 170
Clyde, OH 43410-9811
Phone (567) 855-2807

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT006867OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC CurrentSince May 8, 2023 Accepting new patients
Integrated Therapeutic Healing, LLC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince May 8, 2023 Accepting new patients

Locations

112 Independence Way
Ste 170
Clyde, OH 43410
Phone (567) 855-2807

629 Bartson Rd
Ste B
Fremont, OH 43420
Phone (419) 559-2810

2500 W Strub Rd
Ste 150
Sandusky, OH 44870
Phone (419) 626-4162

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1396728408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BONE CREEK DR",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707267",
            "telephone_number": "419-625-4900",
            "fax_number": "419-621-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BONE CREEK DR",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707267",
            "telephone_number": "419-625-4900",
            "fax_number": "419-621-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEIDER",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT006867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000344036",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.