Individual provider Active NPI

Tyler Snellings, PT, DPT

  • Physical Therapist
  • Williston, ND
National Provider Identifier
1730734567
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2406 Issued in ND
Practice address
512 Main St
Williston, ND 58801-5316
Phone
(701) 774-0320
Fax
(701) 774-0337
NPI assigned
Aug 8, 2019
Last updated
Aug 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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 2406 ND Primary

Addresses

Primary practice location

512 Main St
Williston, ND 58801-5316

Mailing address

PO Box 6358
Williston, ND 58802-6358
Phone (701) 774-0320

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191004001995 ND Practitioner - Physical Therapist in Private Practice 4688905672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Dakota School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Specialty Clinics, Inc.Group PAC ID 7416138870, 4 clinicians

Practice addresses (Care Compare)

512 Main St
Williston, ND 58801-5316
Phone 7017740320740320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Specialty Clinics, Inc. CurrentSince Aug 12, 2019 Accepting new patients
Elite Specialty Clinics, Inc. CurrentSince Aug 12, 2019 Accepting new patients

Locations

512 Main St
Williston, ND 58801
Phone (701) 774-0320

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1730734567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6358",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588026358",
            "telephone_number": "701-774-0320",
            "fax_number": "701-774-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 MAIN ST",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015316",
            "telephone_number": "701-774-0320",
            "fax_number": "701-774-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELLINGS",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.