Active NPI
Jessica Gayle Snyder, P.T.
- Physical Therapist
- Bozeman, MT
National Provider Identifier
1598005696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11133
- Practice address
- 3701 Trakker TRL
Unit 2E
Bozeman, MT 59718-8877 - Phone
- (949) 682-6827
- NPI assigned
- Feb 26, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11133 | MT | Primary |
| Physical Therapist | 225100000X | 39917 | CA |
Addresses
Primary practice location
3701 Trakker TRL
Unit 2E
Bozeman, MT 59718-8877
Mailing address
3701 Trakker TRL
Unit 2E
Bozeman, MT 59718-8877
Phone (949) 682-6827
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 |
|---|---|---|---|
| 39917 | CA | MD | Dentist |
| 11133 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rausch Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Rausch Orthopedic Rehabilitation & Physical Therapy
- Physical Therapy Clinic/Center
- Laguna Niguel, CA
- NPI 1538110861
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478563200000",
"number": "1598005696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 TRAKKER TRL",
"address_2": "UNIT 2E",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597188877",
"telephone_number": "949-682-6827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 TRAKKER TRL",
"address_2": "UNIT 2E",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597188877",
"telephone_number": "949-682-6827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "JESSICA",
"middle_name": "GAYLE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-26",
"last_updated": "2016-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "11133",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "39917",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.