Active NPI
Sheldon Snyder, PT, DPT
- Geriatric Physical Therapist
- Los Angeles, CA
National Provider Identifier
1487519245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 310512
- Practice address
- 5310 Fountain Ave
Los Angeles, CA 90029-1005 - Phone
- (323) 461-9961
- NPI assigned
- Dec 23, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 310512 | CA | Primary |
| Physical Therapist | 225100000X | P23808 | VA |
Addresses
Primary practice location
5310 Fountain Ave
Los Angeles, CA 90029-1005
Mailing address
5317 Serene Forest Dr
Apex, NC 27539-4129
Phone (336) 750-7476
Other practice location 1
4355 Pheasant Ridge Rd
Roanoke, VA 24014-5272
Phone (540) 725-8210
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 |
|---|---|---|---|
| P23808 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1487519245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5317 SERENE FOREST DR",
"city": "APEX",
"state": "NC",
"postal_code": "275394129",
"telephone_number": "336-750-7476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5310 FOUNTAIN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900291005",
"telephone_number": "323-461-9961"
}
],
"practiceLocations": [
{
"address_1": "4355 Pheasant Ridge Rd",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240145272",
"country_code": "US",
"telephone_number": "540-725-8210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNYDER",
"first_name": "SHELDON",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-23",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "CA",
"license": "310512",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "P23808",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.