Active NPI
Michael J Snow, DPT
- Physical Therapist
- Winnemucca, NV
National Provider Identifier
1528065141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1115
- Practice address
- 325 Hanson St
Winnemucca, NV 89445-3607 - Phone
- (775) 625-2222
- Fax
- (775) 625-1131
- NPI assigned
- Jun 29, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1115 | NV | Primary |
Addresses
Primary practice location
325 Hanson St
Winnemucca, NV 89445-3607
Mailing address
325 Hanson St
Winnemucca, NV 89445-3607
Phone (775) 625-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003407002 | Medicaid | NV |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1115 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431043200000",
"number": "1528065141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 HANSON ST",
"city": "WINNEMUCCA",
"state": "NV",
"postal_code": "894453607",
"telephone_number": "775-625-2222",
"fax_number": "775-625-1131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 HANSON ST",
"city": "WINNEMUCCA",
"state": "NV",
"postal_code": "894453607",
"telephone_number": "775-625-2222",
"fax_number": "775-625-1131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOW",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-29",
"last_updated": "2015-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "1115",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003407002",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winnemucca, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.