NPI Code Details Logo

NPI 1487519245

NPI 1487519245 : SHELDON SNYDER PT, DPT : ROANOKE, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1487519245
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SHELDON SNYDER PT, DPT
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/23/2025
-----------------------------------------------------
    Last Update Date     |    12/23/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4355 PHEASANT RIDGE RD 
-----------------------------------------------------
    City                 |    ROANOKE
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    24014-5272
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    540-725-8210
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5317 SERENE FOREST DR 
-----------------------------------------------------
    City                 |    APEX
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    27539-4129
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    336-750-7476
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    P23808
-----------------------------------------------------
    License Number State |    VA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.