Jacob Duane Snodgrass, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-05390 Issued in KS

Practice address

2311 S Kansas Rd
Newton, KS 67114-9032

Phone

(316) 283-7187

Fax

(316) 283-7189

NPI assigned

Jun 7, 2016

Last updated

Jun 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced PT of Newton, LLCGroup PAC ID 3476616848, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advanced PT of Newton, LLC

  dba Empower Physical Therapy

  • Physical Therapist
  • Newton, KS
  • NPI 1801043369
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1497104855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 S KANSAS RD",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149032",
            "telephone_number": "316-283-7187",
            "fax_number": "316-283-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 S KANSAS RD",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149032",
            "telephone_number": "316-283-7187",
            "fax_number": "316-283-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNODGRASS",
        "first_name": "JACOB",
        "middle_name": "DUANE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Suzanne Smith
• Steven Finas Smith, LMAC
• Tacy Smith, ARNP
• Tracy Smith
• Alyson Sneath, LSCSW
• Justin A Soriano, LSCSW, T-LMAC
• Jeconiah Bryce Spangler, PHARMD
• Margaret Spare
• Speak Life Therapy LLC
• Brenda Ann Squires, LMSW

• Physical Therapist in Newton, KS
• Providers in Newton, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.