Active NPI
Lauren Snyder
- Physical Therapist
- Vancouver, WA
National Provider Identifier
1457904948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60974428
- Practice address
- 9414 NE Fourth PLN Rd
Vancouver, WA 98662-6109 - Phone
- (360) 892-5142
- NPI assigned
- Jul 23, 2019
- Last updated
- Dec 17, 2024
- 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 | 60974428 | WA | Primary |
Addresses
Primary practice location
9414 NE Fourth PLN Rd
Vancouver, WA 98662-6109
Mailing address
2406 NE 139TH St Apt C25
Vancouver, WA 98686-2768
Phone (815) 979-5665
Other names 1
- Lauren Nowak
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 |
|---|---|---|---|
| 60974428 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1457904948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2406 NE 139TH ST APT C25",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986862768",
"telephone_number": "815-979-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9414 NE FOURTH PLN RD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626109",
"telephone_number": "360-892-5142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-23",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60974428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "NOWAK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.