Individual provider Active NPI

Sonya Snell, P.T.A.

  • Physical Therapy Assistant
  • Port Orange, FL
National Provider Identifier
1992046098
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA 19164 Issued in FL
Practice address
4550 S Clyde Morris Blvd
Suite D
Port Orange, FL 32129-5294
Phone
(386) 492-2986
Fax
(386) 492-2987
NPI assigned
Mar 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA 19164 FL Primary

Addresses

Primary practice location

4550 S Clyde Morris Blvd
Suite D
Port Orange, FL 32129-5294

Mailing address

4550 S Clyde Morris Blvd
Suite D
Port Orange, FL 32129-5294
Phone (386) 492-2986

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA 19164FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Motion Physical Therapy of Volusia Cty Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1992046098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 S CLYDE MORRIS BLVD",
            "address_2": "SUITE D",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321295294",
            "telephone_number": "386-492-2986",
            "fax_number": "386-492-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 S CLYDE MORRIS BLVD",
            "address_2": "SUITE D",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321295294",
            "telephone_number": "386-492-2986",
            "fax_number": "386-492-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELL",
        "first_name": "SONYA",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 19164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.