Individual provider Active NPI

Brian Kenneth Snitily, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Seattle, WA
National Provider Identifier
1871859942
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD60488992 Issued in WA
Practice address
601 Broadway FL 6
Seattle, WA 98122-5330
Phone
(206) 386-2600
Fax
(206) 622-1644
NPI assigned
Apr 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X MD90488995 WA
Physical Medicine & Rehabilitation Physician 208100000X MD60488992 WA Primary

Addresses

Primary practice location

601 Broadway FL 6
Seattle, WA 98122-5330

Mailing address

805 Madison St Ste 901
Seattle, WA 98104-1172
Phone (206) 264-8100

Other practice location 1

751 NE Blakely Dr Ste 4020
Issaquah, WA 98029-6201
Phone (206) 386-2600

Other identifiers 1

IdentifierTypeStateIssuer
2018459MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170905000655 WA Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 9436441912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Opa Ortho PLLCGroup PAC ID 7012371305, 42 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

601 Broadway
Suite 700
Seattle, WA 98122-5330
Phone (206) 622-2600

Hospital & facility affiliations

  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027
  • Island Hospital Hospital, Anacortes, WA, CCN 500007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD90488995WAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc., P.S. Physical Medicine & Rehabilitation CurrentSince Aug 28, 2017 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Aug 28, 2017 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Opa Ortho PLLC Sports Medicine CurrentSince Oct 1, 2023 Accepting new patients

Locations

751 NE Blakely Dr
Ste 4020
Issaquah, WA 98029
Phone (425) 313-7077

751 NE Blakely Dr
Fl 4
Issaquah, WA 98029
Phone (206) 991-2000

20700 Bond Rd NE
Ste 103
Poulsbo, WA 98370
Phone (206) 799-2132

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

601 Broadway
#700
Seattle, WA 98122
Phone (206) 622-2600

601 Broadway
Fl 7
Seattle, WA 98122
Phone (206) 518-6311

601 Broadway
Fl 6
Seattle, WA 98122
Phone (206) 633-8100

Interoperability endpoints

  • Direct secure messaging: brian.snitily.p1@direct.opa.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1871859942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 MADISON ST STE 901",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041172",
            "telephone_number": "206-264-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BROADWAY FL 6",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225330",
            "telephone_number": "206-386-2600",
            "fax_number": "206-622-1644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 NE Blakely Dr Ste 4020",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980296201",
            "country_code": "US",
            "telephone_number": "206-386-2600",
            "fax_number": "206-622-1644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNITILY",
        "first_name": "BRIAN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "WA",
            "license": "MD90488995",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD60488992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018459",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.