Individual provider Active NPI

Brandon Snyder, DPT

  • Physical Therapist
  • Tower City, PA
National Provider Identifier
1922269919
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019296 Issued in PA
Practice address
39 Porter Rd Ste 1
Tower City, PA 17980-9457
Phone
(717) 523-2502
Fax
(717) 523-2503
NPI assigned
Jun 23, 2008
Last updated
Oct 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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 PT019296 PA Primary

Addresses

Primary practice location

39 Porter Rd Ste 1
Tower City, PA 17980-9457

Mailing address

39 Porter Rd Ste 1
Tower City, PA 17980-9457
Phone (717) 523-2502

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080717000220 PA Practitioner - Physical Therapist in Private Practice 6800969353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Snyder Physical Therapy, LLCGroup PAC ID 8527309822, 3 clinicians

Practice addresses (Care Compare)

39 Porter Rd
Suite 1
Tower City, PA 17980-9457
Phone (717) 523-2502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Snyder Physical Therapy LLC Physical Therapist CurrentSince Jul 24, 2018 Accepting new patients

Locations

39 Porter Rd
Ste 1
Tower City, PA 17980
Phone (717) 523-2502

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1922269919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 PORTER RD STE 1",
            "city": "TOWER CITY",
            "state": "PA",
            "postal_code": "179809457",
            "telephone_number": "717-523-2502",
            "fax_number": "717-523-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 PORTER RD STE 1",
            "city": "TOWER CITY",
            "state": "PA",
            "postal_code": "179809457",
            "telephone_number": "717-523-2502",
            "fax_number": "717-523-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "BRANDON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tower City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.