Individual provider Active NPI

Anna Louise Snider, PT, DPT

  • Physical Therapist
  • Dacula, GA
National Provider Identifier
1972584522
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015078 Issued in GA
Practice address
2515 Fence Rd Ste 160
Dacula, GA 30019-2138
Phone
(770) 237-2852
Fax
(770) 237-2854
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5651 TN
Physical Therapist 225100000X PT015078 GA Primary
Physical Therapist 225100000X PT0000005651 TN

Addresses

Primary practice location

2515 Fence Rd Ste 160
Dacula, GA 30019-2138

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

149 Raymond Hirsch Pkwy
Suite # 9
White House, TN 37188-4332
Phone (615) 672-2977

Other identifiers 1

IdentifierTypeStateIssuer
3653687MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210405000107 GA Practitioner - Physical Therapist in Private Practice 8426465709 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Therapy LLCGroup PAC ID 1153317300, 48 clinicians

Practice addresses (Care Compare)

11555 Johns Creek Pkwy
Johns Creek, GA 30097-1522
Phone (404) 351-5307

Merit-based Incentive Payment System (MIPS)

Final score
86.7 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015078GAMDPhysical Therapist
5651TNMDPhysical Therapist
PT0000005651TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Feb 8, 2021 Accepting new patients
Integrated Therapy LLC Physical Therapist CurrentSince Jul 22, 2024 Accepting new patients
MCM Rehabilitation LLC CurrentSince Aug 23, 2021 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Feb 8, 2021 Accepting new patients
MCM Rehabilitation, LLC. Physical Therapist CurrentSince Aug 23, 2021 Accepting new patients
Progress in Motion, LLC Physical Therapist PastSince Feb 1, 2005 Accepting new patients
Life Clinic of Ga PC Physical Therapist PastSince Dec 3, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

855 North Point Pkwy
Alpharetta, GA 30005
Phone (952) 401-2336

2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

5748 Old Winder Hwy
Ste 400500
Braselton, GA 30517
Phone (678) 866-4312

2515 Fence Rd
Ste 160
Dacula, GA 30019
Phone (770) 237-2852

11555 Johns Creek Pkwy
Johns Creek, GA 30097
Phone (770) 495-7800

97 Gateway Business Park Dr
Ringgold, GA 30736
Phone (706) 937-5771

4947 Paysphere Cr
Chicago, IL 60674

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1972584522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 FENCE RD STE 160",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192138",
            "telephone_number": "770-237-2852",
            "fax_number": "770-237-2854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 Raymond Hirsch Pkwy",
            "address_2": "SUITE # 9",
            "address_purpose": "LOCATION",
            "city": "White House",
            "state": "TN",
            "postal_code": "371884332",
            "country_code": "US",
            "telephone_number": "615-672-2977",
            "fax_number": "615-672-2979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "ANNA",
        "middle_name": "LOUISE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "5651",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015078",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000005651",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3653687",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.