Active NPI
Katie Snodgress
- Physical Therapist
- Daniels, WV
National Provider Identifier
1497438709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004676
- Practice address
- 113 Greenbrier Rd
Daniels, WV 25832-9788 - Phone
- (304) 890-4058
- NPI assigned
- Aug 11, 2023
- 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 | 004676 | WV | Primary |
Addresses
Primary practice location
113 Greenbrier Rd
Daniels, WV 25832-9788
Mailing address
113 Greenbrier Rd
Daniels, WV 25832-9788
Phone (304) 890-4058
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 |
|---|---|---|---|
| 004676 | WV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1497438709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 GREENBRIER RD",
"city": "DANIELS",
"state": "WV",
"postal_code": "258329788",
"telephone_number": "304-890-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 GREENBRIER RD",
"city": "DANIELS",
"state": "WV",
"postal_code": "258329788",
"telephone_number": "304-890-4058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNODGRESS",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-11",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "004676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daniels, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.