Gregory Ralph Snyder, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012778 Issued in MI

Practice address

18791 Fifteen Mile Rd
Clinton TWP, MI 48035-2503

Phone

(586) 790-2326

Fax

(586) 790-2476

NPI assigned

May 8, 2008

Last updated

May 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1801062914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18791 FIFTEEN MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480352503",
            "telephone_number": "586-790-2326",
            "fax_number": "586-790-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18791 FIFTEEN MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480352503",
            "telephone_number": "586-790-2326",
            "fax_number": "586-790-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "GREGORY",
        "middle_name": "RALPH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Clinton TWP, MI
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• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.