Kathleen Moriarty Snyder, P.T.A.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

P1 60056176 Issued in WA

Practice address

17429 Vashon Hwy SW
Vashon, WA 98070-4653

Phone

(206) 463-3441

NPI assigned

Feb 3, 2010

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

Other names 1

• Mrs. Kathy M Snyder Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vashon Physical Therapy

  • Specialist
  • Vashon, WA
  • NPI 1669685913
  NPD (past)

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1467784272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15303 WESTSIDE HWY SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980704015",
            "telephone_number": "206-567-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17429 VASHON HWY SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980704653",
            "telephone_number": "206-463-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "KATHLEEN",
        "middle_name": "MORIARTY",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WA",
            "license": "P1 60056176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "SNYDER",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "P.T.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Geriann Siebert, OTR
• Leigh Siergiewicz, ND
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• Marina Lynn Smith, WILL BE L.AC.
• Marie Sohl, LMHC
• Sound Sleep Solutions, LLC
• Lori Spears, LMHC
• Shannon Mae Sprung, LMHC
• Andrew Jay Stahl, LAC LMP

• Community Health Worker in Vashon, WA
• Providers in Vashon, WA by specialty
• Community Health Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.