Individual provider Active NPI

Jennifer Lynn Snyder, PT

  • Physical Therapist
  • Canton, NY
National Provider Identifier
1467110403
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
048180 Issued in NY
Practice address
80 E Main St
Canton, NY 13617-1450
Phone
(315) 261-5490
NPI assigned
Dec 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 048180 NY Primary

Addresses

Primary practice location

80 E Main St
Canton, NY 13617-1450

Mailing address

80 E Main St
Canton, NY 13617-1450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220203001777 NY Practitioner - Physical Therapist in Private Practice 3678966223 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nysarc Inc. Onondaga County ChapterGroup PAC ID 9537252184, 19 clinicians

Practice addresses (Care Compare)

600 S Wilbur Ave
Syracuse, NY 13204-2730
Phone (315) 476-7441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc. Onondaga County Chapter Single Specialty CurrentSince Dec 22, 2025 Accepting new patients
Essex County Chapter, Nysarc, Inc. Single Specialty CurrentSince Nov 22, 2022 Accepting new patients
Northern Physical Therapy, LLC Single Specialty CurrentSince Jan 17, 2022 Accepting new patients

Locations

63 S Main St
#1-2
Norwood, NY 13668
Phone (315) 353-6618

203 State St
Ogdensburg, NY 13669
Phone (315) 393-2024

10 St Patrick Pl
Port Henry, NY 12974
Phone (518) 546-3381

600 S Wilbur Ave
Syracuse, NY 13204
Phone (315) 476-7441

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1467110403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E MAIN ST",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E MAIN ST",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171450",
            "telephone_number": "315-261-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.