Individual provider Active NPI

Lauren K Snider, M.P.T.

  • Physical Therapist
  • Tallahassee, FL
National Provider Identifier
1821379124
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT26717 Issued in FL
Practice address
3334 Capital Medical Blvd
Suite 300
Tallahassee, FL 32308-8405
Phone
(850) 877-8855
Fax
(850) 877-7627
NPI assigned
Aug 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT26717 FL Primary
Physical Therapist 225100000X 1182793 TX

Addresses

Primary practice location

3334 Capital Medical Blvd
Suite 300
Tallahassee, FL 32308-8405

Mailing address

3334 Capital Medical Blvd
Suite 300
Tallahassee, FL 32308-8405
Phone (850) 877-8855

Other identifiers 2

IdentifierTypeStateIssuer
1376593053OtherFLGROUP PRACTICE NPI
169704439OtherFLMEDICARE PTAN

Other names 1

  • Lauren A Koehn 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT26717FLMDPhysical Therapist
1182793TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1821379124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 CAPITAL MEDICAL BLVD",
            "address_2": "SUITE 300",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088405",
            "telephone_number": "850-877-8855",
            "fax_number": "850-877-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 CAPITAL MEDICAL BLVD",
            "address_2": "SUITE 300",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088405",
            "telephone_number": "850-877-8855",
            "fax_number": "850-877-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "LAUREN",
        "middle_name": "K",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26717",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1182793",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PRACTICE NPI",
            "identifier": "1376593053",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "169704439",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "KOEHN",
            "middle_name": "A",
            "credential": "M.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.