Organization Active NPI

Mary Lee Snorteland PT LLC

  • Physical Therapist
  • Lynnwood, WA
National Provider Identifier
1629247291
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00002473 Issued in WA
Legal business name
MARY LEE SNORTELAND PT LLC
Practice address
4300 198TH St SW
Lynnwood, WA 98036-6771
Phone
(425) 778-2325
Fax
(425) 778-7692
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Ms. Mary Lee Snorteland
Title
Owner
Phone
(425) 778-2325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Locations

4300 198th St SW
Lynnwood, WA 98036
Phone (206) 861-8200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1629247291",
    "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": {
        "organization_name": "MARY LEE SNORTELAND PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "SNORTELAND",
        "authorized_official_first_name": "MARY LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-778-2325",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00002473",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 2, 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.