Active NPI
Shane Daniel Snyder, DPT
- Physical Therapist
- Scottsdale, AZ
National Provider Identifier
1629413307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10257PT
- Practice address
- 9364 E Raintree Dr
Suite 103
Scottsdale, AZ 85260-2200 - Phone
- (480) 661-1124
- NPI assigned
- May 8, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 10257PT | AZ | Primary |
Addresses
Primary practice location
9364 E Raintree Dr
Suite 103
Scottsdale, AZ 85260-2200
Mailing address
8351 E Corrine Dr
Scottsdale, AZ 85260-5250
Phone (602) 369-3925
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 |
|---|---|---|---|
| 10257 | AZ | MD | Marriage & Family Therapist |
| 10257PT | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1629413307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8351 E CORRINE DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852605250",
"telephone_number": "602-369-3925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9364 E RAINTREE DR",
"address_2": "SUITE 103",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602200",
"telephone_number": "480-661-1124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "SHANE",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-08",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "10257PT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.