Active NPI
Michael Snyder, PT
- Physical Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP001275T
- Practice address
- 17233 N Holmes Blvd Ste 1650
Phoenix, AZ 85053-2030 - Phone
- (602) 547-1836
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05007458A | IN | |
| Physical Therapist | 225100000X | CP001275T | AZ | Primary |
Addresses
Primary practice location
17233 N Holmes Blvd Ste 1650
Phoenix, AZ 85053-2030
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other practice location 1
300 Ridge Rd
Munster, IN 46321-1528
Phone (219) 836-0027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP001275T | Other | AZ | PT COMPACT PRIVILEGE VERIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.09 of 100
- Quality
- 89.13
- Improvement activities
- 40
- Cost
- 73.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP001275T | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings of Arizona, LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Rehabilitation LLC | Past | Accepting new patients | |
| Strength Training Inc | Past | Accepting new patients |
Locations
1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058
5803 W Northern Ave
Ste 110
Glendale, AZ 85301
Phone (623) 295-3699
380 N Estrella Pkwy
Ste A1
Goodyear, AZ 85338
Phone (480) 455-6266
11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204
1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
Organizations & group practices 3
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 Therapist
- Phoenix, AZ
- NPI 1871570309
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
-
- Customized Equipment (DME)
- Phoenix, AZ
- NPI 1356552996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1972643096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17233 N HOLMES BLVD STE 1650",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850532030",
"telephone_number": "602-547-1836"
}
],
"practiceLocations": [
{
"address_1": "300 Ridge Rd",
"address_purpose": "LOCATION",
"city": "Munster",
"state": "IN",
"postal_code": "463211528",
"country_code": "US",
"telephone_number": "219-836-0027",
"fax_number": "219-836-0067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNYDER",
"first_name": "MICHAEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05007458A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "CP001275T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT COMPACT PRIVILEGE VERIFICATION",
"identifier": "CP001275T",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.