Individual provider Active NPI

Sarah Snyder Diehl, P.T.

  • Physical Therapist
  • Yadkinville, NC
National Provider Identifier
1710121835
Registry record updated Oct 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2402 Issued in NC
Practice address
102 Woodlyn Dr
Yadkinville, NC 27055-6673
Phone
(336) 677-1800
Fax
(336) 677-1802
NPI assigned
Apr 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2402 NC Primary

Addresses

Primary practice location

102 Woodlyn Dr
Yadkinville, NC 27055-6673

Mailing address

102 Woodlyn Dr
Yadkinville, NC 27055-6673
Phone (336) 677-1800

Other identifiers 1

IdentifierTypeStateIssuer
7213005MedicaidNC

Other names 1

  • Miss Sarah Ruth Snyder Former name

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

LicenseStateTypeSpecialty
2402NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475971200000",
    "number": "1710121835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODLYN DR",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270556673",
            "telephone_number": "336-677-1800",
            "fax_number": "336-677-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WOODLYN DR",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270556673",
            "telephone_number": "336-677-1800",
            "fax_number": "336-677-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "SARAH",
        "middle_name": "SNYDER",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2016-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7213005",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SNYDER",
            "middle_name": "RUTH",
            "prefix": "MISS",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yadkinville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.