Shianti Marie Snyder, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131001455 Issued in VA

Practice address

927 N Main St
Marion, VA 24354-4117

Phone

(276) 783-7529

Fax

(276) 783-7555

NPI assigned

Aug 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kidz at Play Therapy, PLLC

  • Rehabilitation Clinic/Center
  • Marion, VA
  • NPI 1760753545

  Occupational Therapy Assistant

  NPD

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1679949705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 COUNTRY CLUB RD",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243541508",
            "telephone_number": "276-492-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 N MAIN ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544117",
            "telephone_number": "276-783-7529",
            "fax_number": "276-783-7555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 North Street",
            "address_2": "NHC HealthCare,Bristol",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "VA",
            "postal_code": "24201",
            "country_code": "US",
            "telephone_number": "276-669-4711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "SHIANTI",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131001455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760753545",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smyth County Family Physicians
• Smyth County Public Schools
• Smyth County Public Schools
• Smyth County Radiology Inc
• Smyth County Surgical Associates, LLC
• Aleksandr Sokolovsky, D.O.
• Solas Psychiatry LLC
• Selma Sosic
• Southfork Solutions LLC
• Southwest Podiatry, P.C.

• Occupational Therapy Assistant in Marion, VA
• Providers in Marion, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.