Active NPI
Mary Lee Snorteland, PT
- Physical Therapist
- Lynnwood, WA
National Provider Identifier
1629158506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00002473
- Practice address
- 4300 198TH St SW
Lynnwood, WA 98036-6771 - Phone
- (425) 778-2325
- Fax
- (425) 778-7692
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PT00002473 | WA | Primary |
Addresses
Primary practice location
4300 198TH St SW
Lynnwood, WA 98036-6771
Mailing address
4300 198TH St SW
Lynnwood, WA 98036-6771
Phone (425) 778-2325
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8859358 | Other | WA | MEDICARE PTAN |
| 20-3601955 | Other | WA | TAXPAYER IDENTIFICATION # |
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": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1629158506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 198TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366771",
"telephone_number": "425-778-2325",
"fax_number": "425-778-7692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 198TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366771",
"telephone_number": "425-778-2325",
"fax_number": "425-778-7692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNORTELAND",
"first_name": "MARY LEE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2016-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00002473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "G8859358",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXPAYER IDENTIFICATION #",
"identifier": "20-3601955",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.