Individual provider Active NPI

Allison Snider, DPT

  • Physical Therapist
  • Stockton, CA
National Provider Identifier
1508401977
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT297601 Issued in CA
Practice address
4339 E Morada LN Ste 150
Stockton, CA 95212-1634
Phone
(209) 888-6346
Fax
(209) 478-4939
NPI assigned
Nov 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT297601 CA Primary

Addresses

Primary practice location

4339 E Morada LN Ste 150
Stockton, CA 95212-1634

Mailing address

4339 E Morada LN Ste 150
Stockton, CA 95212-1634
Phone (209) 888-6346

Other practice location 1

1617 Saint Marks Plz Ste B
Stockton, CA 95207-6423
Phone (209) 888-6346

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200107003479 CA Practitioner - Physical Therapist in Private Practice 2961836549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacer Physical Therapy, Inc.Group PAC ID 0244393429, 6 clinicians

Practice addresses (Care Compare)

2330 San Ramon Valley Blvd
San Ramon, CA 94583-1608
Phone (925) 855-1733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT297601CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacer Physical Therapy, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Pacer Physical Therapy, Inc. Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients

Locations

2330 San Ramon Valley Blvd
San Ramon, CA 94583
Phone (925) 855-1733

2255 Ygnacio Valley Rd
Ste E
Walnut Creek, CA 94598
Phone (925) 930-6680

Organizations & group practices 2

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": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1508401977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4339 E MORADA LN STE 150",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952121634",
            "telephone_number": "209-888-6346",
            "fax_number": "209-478-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4339 E MORADA LN STE 150",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952121634",
            "telephone_number": "209-888-6346",
            "fax_number": "209-478-4939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1617 Saint Marks Plz Ste B",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952076423",
            "country_code": "US",
            "telephone_number": "209-888-6346",
            "fax_number": "209-478-4939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT297601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.