Bethany Crystal Skinner, MAOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

105556 Issued in MN

Practice address

1801 Highway 25 N
Buffalo, MN 55313-1934

Phone

(763) 682-4336

NPI assigned

Apr 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1003312695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 FOX MEADOW DR",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553289043",
            "telephone_number": "612-401-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 HIGHWAY 25 N",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131934",
            "telephone_number": "763-682-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "BETHANY",
        "middle_name": "CRYSTAL",
        "credential": "MAOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Shonblom, RN
• Susan Sifferle
• Rachel Simmonds
• Lois Simon, RN
• Lynn Simon, MD
• Slavic Translation Services, Inc.
• Mary R Sloan, HIS
• Paul Joseph Smaciarz, APRN, CNP
• Kathryn Smith, CNP
• Michael J Smith, MD

• Occupational Therapist in Buffalo, MN
• Providers in Buffalo, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.