Individual provider Active NPI

Jeffrey Harold Snow, P.T.

  • Physical Therapist
  • Auburn, CA
National Provider Identifier
1831208628
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17634 Issued in CA
Practice address
12055 Persimmon Ter
Ste. 130
Auburn, CA 95603-3808
Phone
(530) 889-0478
Fax
(530) 889-1046
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American River Rehabilitation, Incorporated 7 clinicians

Practice addresses (Care Compare)

12055 Persimmon Ter
Suite 130
Auburn, CA 95603-3808
Phone (530) 889-0478

Merit-based Incentive Payment System (MIPS)

Final score
93.92 of 100Reported as group
Quality
99.84
Improvement activities
40
Cost
79.95

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061002000298 CA Practitioner - Physical Therapist in Private Practice 2567467210 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17634CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
American River Rehabilitation and Physical Therapy, Inc. Physical Therapist CurrentSince Jun 14, 2021 Accepting new patients

Locations

12055 Persimmon Ter
Ste 130
Auburn, CA 95603
Phone (530) 305-9276

228 Palm Ave
Auburn, CA 95603
Phone (530) 305-9276

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 17634 CA Primary

Addresses

Primary practice location

12055 Persimmon Ter
Ste. 130
Auburn, CA 95603-3808

Mailing address

12055 Persimmon Ter
Ste. 130
Auburn, CA 95603-3808
Phone (530) 889-0478

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831208628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12055 PERSIMMON TER",
            "address_2": "STE. 130",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956033808",
            "telephone_number": "530-889-0478",
            "fax_number": "530-889-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12055 PERSIMMON TER",
            "address_2": "STE. 130",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956033808",
            "telephone_number": "530-889-0478",
            "fax_number": "530-889-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "JEFFREY",
        "middle_name": "HAROLD",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "17634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.