Gwendolyn Micanna Snider, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306605763 Issued in VA

Practice address

100 Arbor Dr Ste 108
Christiansburg, VA 24073-6585

Phone

(540) 443-3428

NPI assigned

Jul 5, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1427736032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 THUNDER RD",
            "city": "PEMBROKE",
            "state": "VA",
            "postal_code": "241363404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARBOR DR STE 108",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736585",
            "telephone_number": "540-443-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "GWENDOLYN",
        "middle_name": "MICANNA",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306605763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Smith, D.D.S.
• Teresa Jillian Smith
• Corey H Smock, P.A.-C
• Tina Smusz, MD
• Gina Lucia Smyth-Gardner, PT
• Christopher Michael Snow, PT, DPT, OCS, ATC
• Baylie Snyder, ATC
• Solstas Lab Partners Group LLC
• Sergio Esteban Soto, DO
• Southwestern Virginia Ears Nose and Throat Associates PC

• Physical Therapy Assistant in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.