Active NPI
Craig Lee Snider, DPT
- Physical Therapist
- West Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05015756A
- Practice address
- 1044 Sagamore Pkwy W Unit a
West Lafayette, IN 47906-1446 - Phone
- (765) 250-4445
- NPI assigned
- Dec 14, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | TN-PT0000009151 | TN | |
| Physical Therapist | 225100000X | PT017255 | OH | |
| Physical Therapist | 225100000X | 05015756A | IN | Primary |
Addresses
Primary practice location
1044 Sagamore Pkwy W Unit a
West Lafayette, IN 47906-1446
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (620) 575-1980
Other practice location 1
440 Corwin Nixon Blvd Ste S
South Lebanon, OH 45065-1196
Phone (513) 770-0333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1044 Sagamore Pkwy W
Unit a
West Lafayette, IN 47906-1446
Phone (765) 250-4445
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017255 | OH | MD | Physical Therapist |
| TN-PT0000009151 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Summit Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Summit Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560
1044 Sagamore Pkwy W
Unit A
West Lafayette, IN 47906
Phone (765) 250-4445
Interoperability endpoints
- craig.snider.p1@direct.beaconortho.nextgenshare.com
Organizations & group practices 4
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.
-
- Physical Therapist
- Hixson, TN
- NPI 1225514110
-
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1376796342
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1780953182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925",
"telephone_number": "620-575-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 SAGAMORE PKWY W UNIT A",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479061446",
"telephone_number": "765-250-4445"
}
],
"practiceLocations": [
{
"address_1": "440 Corwin Nixon Blvd Ste S",
"address_purpose": "LOCATION",
"city": "South Lebanon",
"state": "OH",
"postal_code": "450651196",
"country_code": "US",
"telephone_number": "513-770-0333",
"fax_number": "513-770-0231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNIDER",
"first_name": "CRAIG",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-14",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "TN-PT0000009151",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT017255",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05015756A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.