Individual provider Active NPI

Jeremy Snyder, P.T.

  • Specialist
  • Colorado Springs, CO
National Provider Identifier
1437217957
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7842 Issued in CO
Practice address
525 N Cascade Ave Ste 1
Colorado Springs, CO 80903-3308
Phone
(719) 381-4359
Fax
(719) 381-4359
NPI assigned
Dec 5, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 7842 CO Primary

Addresses

Primary practice location

525 N Cascade Ave Ste 1
Colorado Springs, CO 80903-3308

Mailing address

525 N Cascade Ave Ste 1
Colorado Springs, CO 80903-3308
Phone (719) 381-4359

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051110000271 CO Practitioner - Physical Therapist in Private Practice 8921026725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Rehabilitation P.C.Group PAC ID 7618995465, 3 clinicians

Practice addresses (Care Compare)

711 N Tejon St
Suite 100
Colorado Springs, CO 80903-1011
Phone (719) 381-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7842COMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Rehabilitation P.C. CurrentSince Sep 6, 2005 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, 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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1437217957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N CASCADE AVE STE 1",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033308",
            "telephone_number": "719-381-4359",
            "fax_number": "719-381-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N CASCADE AVE STE 1",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033308",
            "telephone_number": "719-381-4359",
            "fax_number": "719-381-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JEREMY",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "7842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.