Individual provider Active NPI

Grant (Bill) Cannon Snarr, PT

  • Physical Therapist
  • Alpine, UT
National Provider Identifier
1538474366
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
167735-2401 Issued in UT
Practice address
13413 Grove Dr
Alpine, UT 84004-1838
Phone
(801) 368-7976
NPI assigned
Aug 17, 2010
Sex
Male
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
167735-2401UTMDPhysical Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 167735-2401 UT Primary

Addresses

NPPES NPI Registry

Primary practice location

13413 Grove Dr
Alpine, UT 84004-1838

Mailing address

13413 Grove Dr
Alpine, UT 84004-1838
Phone (801) 368-7976

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2010.

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1538474366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13413 GROVE DR",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840041838",
            "telephone_number": "801-368-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13413 GROVE DR",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840041838",
            "telephone_number": "801-368-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNARR",
        "first_name": "GRANT (BILL)",
        "middle_name": "CANNON",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "167735-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpine, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.