Individual provider Active NPI

Lavar John Snyder, OTR/L

  • Occupational Therapist
  • Elko, NV
National Provider Identifier
1700603834
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-3110 Issued in NV
Practice address
2072 Idaho St
Elko, NV 89801-2627
Phone
(775) 777-1276
Fax
(775) 777-7022
NPI assigned
Sep 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-3110 NV Primary

Addresses

Primary practice location

2072 Idaho St
Elko, NV 89801-2627

Mailing address

248 Country Club Pkwy
Spring Creek, NV 89815-5830
Phone (775) 777-1276

Other practice location 1

2001 Errecart Blvd
Elko, NV 89801-8333
Phone (775) 748-2086

Other practice location 2

248 Country Club Pkwy
Spring Creek, NV 89815-5830
Phone (775) 777-1276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106003196 NV Practitioner - Occupational Therapist in Private Practice 1759815285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Physical TherapyGroup PAC ID 8921384611, 8 clinicians

Practice addresses (Care Compare)

2072 Idaho St
Elko, NV 89801-2627
Phone (775) 777-1276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-3110NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physical Therapy Occupational Therapist CurrentSince Oct 28, 2024 Accepting new patients
First Choice Physical Therapy, Inc PastSince Nov 3, 2024 Accepting new patients

Locations

2072 Idaho St
Elko, NV 89801
Phone (775) 254-8587

248 Country Club Pkwy
Spring Creek, NV 89815
Phone (775) 254-8587

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1700603834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 COUNTRY CLUB PKWY",
            "city": "SPRING CREEK",
            "state": "NV",
            "postal_code": "898155830",
            "telephone_number": "775-777-1276",
            "fax_number": "775-777-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 IDAHO ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012627",
            "telephone_number": "775-777-1276",
            "fax_number": "775-777-7022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Errecart Blvd",
            "address_purpose": "LOCATION",
            "city": "Elko",
            "state": "NV",
            "postal_code": "898018333",
            "country_code": "US",
            "telephone_number": "775-748-2086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "248 Country Club Pkwy",
            "address_purpose": "LOCATION",
            "city": "Spring Creek",
            "state": "NV",
            "postal_code": "898155830",
            "country_code": "US",
            "telephone_number": "775-777-1276",
            "fax_number": "775-777-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "LAVAR",
        "middle_name": "JOHN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-3110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.