Individual provider Active NPI

Elisabeth Rose Snyder

  • Occupational Therapist
  • Madison, WI
National Provider Identifier
1518665157
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8152-26 Issued in WI
Practice address
6674 Ronald Reagan Ave
Madison, WI 53704-2395
Phone
(608) 556-6120
NPI assigned
Feb 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 8152-26 WI Primary

Addresses

Primary practice location

6674 Ronald Reagan Ave
Madison, WI 53704-2395

Mailing address

6674 Ronald Reagan Ave
Madison, WI 53704-2395
Phone (608) 556-6120

Other practice location 1

411 Prairie Heights Dr Ste 101
Verona, WI 53593-2238
Phone (608) 556-6120

Other names 1

  • Elisa Rose Snyder Professional name

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

LicenseStateTypeSpecialty
8152-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Therapy and Development Services PastSince Feb 26, 2023 Accepting new patients

Organizations & group practices 1

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": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1518665157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6674 RONALD REAGAN AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537042395",
            "telephone_number": "608-556-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6674 RONALD REAGAN AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537042395",
            "telephone_number": "608-556-6120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Prairie Heights Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "WI",
            "postal_code": "535932238",
            "country_code": "US",
            "telephone_number": "608-556-6120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "ELISABETH",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "8152-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISA",
            "last_name": "SNYDER",
            "middle_name": "ROSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

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

Verify at the official NPI Registry.