NPIMap

Organization Active NPI

Kevin Snider Physical Therapy, Inc

  • Physical Therapist
  • Anderson, CA
National Provider Identifier
1578528261
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5041 Issued in CA
Legal business name
KEVIN SNIDER PHYSICAL THERAPY, INC
Practice address
1920 Barney Rd
Anderson, CA 96007-4337
Phone
(530) 365-2142
Fax
(530) 365-5655
NPI assigned
Apr 18, 2006
Last updated
Jun 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Bev M Sindorf
Title
Office Manager
Phone
(530) 365-2142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5041 CA Primary

Addresses

Primary practice location

1920 Barney Rd
Anderson, CA 96007-4337

Mailing address

1920 Barney Rd
Anderson, CA 96007-4337
Phone (530) 365-2142

Other identifiers 1

IdentifierTypeStateIssuer
PT0090410MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1578528261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 BARNEY RD",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960074337",
            "telephone_number": "530-365-2142",
            "fax_number": "530-365-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 BARNEY RD",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960074337",
            "telephone_number": "530-365-2142",
            "fax_number": "530-365-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN SNIDER PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "SINDORF",
        "authorized_official_first_name": "BEV",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-365-2142"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT5041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0090410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.