Individual provider Active NPI

Jason Michael Snyder, RPT

  • Physical Therapist
  • Ponca City, OK
National Provider Identifier
1528065158
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2540 Issued in OK
Practice address
2005 N 14TH St
Ste 111
Ponca City, OK 74601-1952
Phone
(580) 765-0101
Fax
(580) 765-3434
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 PT2540 OK Primary

Addresses

Primary practice location

2005 N 14TH St
Ste 111
Ponca City, OK 74601-1952

Mailing address

706 S 1St St
Blackwell, OK 74631-3825
Phone (580) 363-1111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120611000536 OK Practitioner - Physical Therapist in Private Practice 1153585724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Health Oklahoma Outpatient Clinics LLCGroup PAC ID 3072562412, 44 clinicians

Practice addresses (Care Compare)

1225 SW 89TH St
Oklahoma City, OK 73139-9101
Phone (405) 616-0113

2211 N 14TH St
Ponca City, OK 74601-1841
Phone (580) 765-0101

706 S 1St St
Blackwell, OK 74631-3825
Phone (580) 363-1111

8355 US Hwy 277
Suite 7
Elgin, OK 73538-2207
Phone (580) 492-1112

904 W 6TH Ave
Stillwater, OK 74074-4301
Phone (405) 743-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2540OKMDOccupational Therapy Assistant
PT2540OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
H2 Health Oklahoma Outpatient Clinics LLC Physical Therapist CurrentSince Oct 9, 2023 Accepting new patients
Valir Outpatient Clinics LLC Physical Therapist PastSince Jun 18, 2023 Accepting new patients

Locations

706 S 1st St
Blackwell, OK 74631
Phone (580) 363-1111

8355 US Highway 277
#7
Elgin, OK 73538
Phone (580) 492-1112

2211 N 14th St
Ponca City, OK 74601
Phone (580) 765-0101

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528065158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 S 1ST ST",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746313825",
            "telephone_number": "580-363-1111",
            "fax_number": "580-363-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 N 14TH ST",
            "address_2": "STE 111",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011952",
            "telephone_number": "580-765-0101",
            "fax_number": "580-765-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT2540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.