Active NPI
Jeffrey Harold Snow, P.T.
- Physical Therapist
- Auburn, CA
National Provider Identifier
1831208628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17634
- 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.
-
- Physical Therapy Clinic/Center
- Auburn, CA
- NPI 1750307674
CA, Physical Therapist
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
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 100
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 17634 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American River Rehabilitation and Physical Therapy, Inc. | Physical Therapist | Current | 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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.