Thomas Gene Snyder, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

10165 Issued in CA

Practice address

101 South First St
Ste 1800
Burbank, CA 91502-1959

Phone

(818) 558-7252

Fax

(818) 558-7312

NPI assigned

Oct 2, 2013

Last updated

Sep 28, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: thomas.snyder.p1@direct.lakeside.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeside Medical Associates, a Medical Group, Inc.

  dba Lakeside Community Healthcare Medical Group

  • Rheumatology Physician
  • Burbank, CA
  • NPI 1861499535
  NPD (past)

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1619304854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SOUTH FIRST ST",
            "address_2": "STE 1800",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021959",
            "telephone_number": "818-558-7252",
            "fax_number": "818-558-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SOUTH FIRST ST",
            "address_2": "STE 1800",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021959",
            "telephone_number": "818-558-7252",
            "fax_number": "818-558-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "THOMAS",
        "middle_name": "GENE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-02",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "10165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen J. Smith, PSY.D.
• Taylor Smith
• Louis Smock
• Smooth Aesthetics Inc, a Medical Corp (Smooth Aesthetics Medical Spa)
• SNJ Hospice Care LLC
• Dora H. So, M.D.
• Tiany Siao Tian So, MS, RD
• Socal Best Care Inc.
• Socal Breathe Free ASC LLC
• Socal Health Services, Inc.

• Physical Therapy Assistant in Burbank, CA
• Providers in Burbank, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.