Active NPI
Elissa Snouffer, PT, DPT
- Physical Therapist
- Mentor, OH
National Provider Identifier
1578110730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018271
- Practice address
- 8836 Tyler Blvd
Mentor, OH 44060-4361 - Phone
- (440) 255-9553
- Fax
- (440) 255-9563
- NPI assigned
- Aug 22, 2019
- Last updated
- Aug 22, 2019
- Sex
- Female
- 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 | PT018271 | OH | Primary |
Addresses
Primary practice location
8836 Tyler Blvd
Mentor, OH 44060-4361
Mailing address
8836 Tyler Blvd
Mentor, OH 44060-4361
Phone (440) 255-9553
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1578110730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8836 TYLER BLVD",
"city": "MENTOR",
"state": "OH",
"postal_code": "440604361",
"telephone_number": "440-255-9553",
"fax_number": "440-255-9563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8836 TYLER BLVD",
"city": "MENTOR",
"state": "OH",
"postal_code": "440604361",
"telephone_number": "440-255-9553",
"fax_number": "440-255-9563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOUFFER",
"first_name": "ELISSA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-22",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT018271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.