Provider Demographics
NPI:1033190475
Name:SNYDER, TOD LEWIS (PT)
Entity Type:Individual
Prefix:MR
First Name:TOD
Middle Name:LEWIS
Last Name:SNYDER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C/O CENTER FOR PHYSICAL THERAPY
Mailing Address - Street 2:2 DELAVERGNE AVE.
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-1202
Mailing Address - Country:US
Mailing Address - Phone:845-297-4789
Mailing Address - Fax:845-297-8596
Practice Address - Street 1:C/O CENTER FOR PHYSICAL THERAPY
Practice Address - Street 2:2 DELAVERGNE AVE.
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-1202
Practice Address - Country:US
Practice Address - Phone:845-297-4789
Practice Address - Fax:845-297-8596
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016461225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
960955OtherMVP
Q16031OtherBLUE CROSS BLUE SHIELD
000409361001OtherHEALTH NOW
7176088OtherAETNA PPO
2159121OtherCCN
P840010OtherOXFORD
819578OtherMANAGED PHYSICAL NETWORK
83398OtherOPERATING ENGNRS LCL 825
2276798OtherUNITED HEALTH CARE
2277516OtherAETNA HMO
83398OtherOPERATING ENGNRS LCL 825