Active NPI
Jessica H Snyder, MPT
- Physical Therapist
- Gastonia, NC
National Provider Identifier
1861673162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11303
- Practice address
- 365 N New Hope Rd
Suite 5
Gastonia, NC 28054-4719 - Phone
- (704) 569-8030
- Fax
- (704) 869-0457
- NPI assigned
- Nov 15, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 11303 | NC | Primary |
Addresses
Primary practice location
365 N New Hope Rd
Suite 5
Gastonia, NC 28054-4719
Mailing address
2755 Union Rd
Gastonia, NC 28054-7015
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11303 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386201600000",
"number": "1861673162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2755 UNION RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280547015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 N NEW HOPE RD",
"address_2": "SUITE 5",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280544719",
"telephone_number": "704-569-8030",
"fax_number": "704-869-0457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "JESSICA",
"middle_name": "H",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-15",
"last_updated": "2013-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "11303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.