Individual provider Active NPI

Katrina Snouffer, DPT

  • Physical Therapist
  • Ocoee, FL
National Provider Identifier
1770830259
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27653 Issued in FL
Practice address
8945 W Colonial Dr
Ocoee, FL 34761-6918
Phone
(407) 822-7506
NPI assigned
Aug 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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 PT27653 FL Primary

Addresses

Primary practice location

8945 W Colonial Dr
Ocoee, FL 34761-6918

Mailing address

PO Box 278
Castaic, CA 91310-0278
Phone (818) 789-3819

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170802000706 CA Practitioner - Physical Therapist in Private Practice 8921379447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Oaks Physical Therapy ApcGroup PAC ID 1557759206, 3 clinicians

Practice addresses (Care Compare)

14116 Magnolia Blvd
Sherman Oaks, CA 91423-1119
Phone 8187893819106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT27653FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert N. Mettam, P.T., Physical Therapist, Inc. Physical Therapist CurrentSince Nov 14, 2016 Accepting new patients
Magnolia Oaks Physical Therapy Apc Physical Therapist CurrentSince Jul 13, 2021 Accepting new patients
Robert N. Mettam, P.T., Physical Therapist, Inc. Physical Therapist CurrentSince Nov 14, 2016 Accepting new patients
Cora Health Services, Inc Past Accepting new patients
Cora Health Services, Inc Past Accepting new patients

Locations

14116 Magnolia Blvd
Sherman Oaks, CA 91423
Phone (818) 789-3819

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1770830259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "913100278",
            "telephone_number": "818-789-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8945 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347616918",
            "telephone_number": "407-822-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOUFFER",
        "first_name": "KATRINA",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; 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.