Active NPI
Kimberly Sue Snyder, PT
- Physical Therapist
- Newburgh, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05002666A
- Practice address
- 4199 Gateway Blvd
Suite 3500
Newburgh, IN 47630-8940 - Phone
- (812) 858-5950
- Fax
- (812) 858-5955
- NPI assigned
- Oct 4, 2006
- Last updated
- Jun 17, 2019
- 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 | 05002666A | IN | Primary |
Addresses
Primary practice location
4199 Gateway Blvd
Suite 3500
Newburgh, IN 47630-8940
Mailing address
4199 Gateway Blvd
Suite 3500
Newburgh, IN 47630-8940
Phone (812) 858-5950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200245730 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Indiana University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4199 Gateway Blvd
Suite 3500
Newburgh, IN 47630-7909
Phone (812) 858-5950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Women's Hospital of Southern Indiana, LLC | Physical Therapist | Current | Accepting new patients |
| Deaconess Women's Hospital of Southern Indiana, LLC | Current | Accepting new patients | |
| Deaconess Women's Hospital of Southern Indiana, LLC | Current | Accepting new patients | |
| High Pointe Rehab Services, PC | Physical Therapist | Past | Accepting new patients |
| The Women's Hospital | Past | Accepting new patients |
Locations
4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200
4199 Gateway Blvd
Ste 3500
Newburgh, IN 47630
Phone (812) 853-2600
Organizations & group practices 5
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.
-
dba Anesthesia Services at The Women's Hospital
- Anesthesiology Physician
- Newburgh, IN
- NPI 1245272921
-
- Physical Therapy Clinic/Center
- Newburgh, IN
- NPI 1336234152
Physical Therapist
-
dba The Women's Hospital Provider Services
- Gynecologic Oncology Physician
- Newburgh, IN
- NPI 1114297801
Physical Therapist
-
- Non-Surgical Family Planning Clinic/Center
- Evansville, IN
- NPI 1609689561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1407941230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4199 GATEWAY BLVD",
"address_2": "SUITE 3500",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308940",
"telephone_number": "812-858-5950",
"fax_number": "812-858-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4199 GATEWAY BLVD",
"address_2": "SUITE 3500",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308940",
"telephone_number": "812-858-5950",
"fax_number": "812-858-5955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "KIMBERLY",
"middle_name": "SUE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05002666A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200245730",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.