Individual provider Active NPI

Timothy Ryan Skerrett, OTR / L

  • Occupational Therapist
  • Cedar Park, TX
National Provider Identifier
1013379965
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
117437 Issued in TX
Practice address
715 Discovery Blvd Ste 211
Cedar Park, TX 78613-2417
Phone
(512) 259-4263
NPI assigned
Mar 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 117437 TX Primary

Addresses

Primary practice location

715 Discovery Blvd Ste 211
Cedar Park, TX 78613-2417

Mailing address

715 Discovery Blvd Ste 211
Cedar Park, TX 78613-2417
Phone (512) 259-4263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161027000664 CO Practitioner - Occupational Therapist in Private Practice 8628356599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Centers of Colorado LLCGroup PAC ID 2365714540, 327 clinicians

Practice addresses (Care Compare)

1300 S Potomac St
116 Hand Surgery Associates Aurora
Aurora, CO 80012-4526
Phone (303) 744-7078

Merit-based Incentive Payment System (MIPS)

Final score
43.24 of 100Reported as group
Quality
73.53
Promoting interoperability
0
Improvement activities
0
Cost
70.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117437TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Centers of Colorado, LLC Occupational Therapist CurrentSince Sep 6, 2017 Accepting new patients
Orthopedic Centers of Colorado, LLC Occupational Therapist CurrentSince Sep 6, 2017 Accepting new patients

Locations

6870 W 52nd Ave
Ste 102
Arvada, CO 80002
Phone (303) 534-0391

1300 S Potomac St
Ste 116
Aurora, CO 80012
Phone (303) 871-7068

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

1550 S Potomac St
Ste 180
Aurora, CO 80012
Phone (303) 369-1077

2352 Meadows Blvd
Ste 250
Castle Rock, CO 80109
Phone (303) 214-4500

601 E Hampden Ave
Ste 500
Englewood, CO 80113
Phone (303) 789-5242

7720 S Broadway
Ste 150
Littleton, CO 80122
Phone (720) 283-6573

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

11960 Lioness Way
Ste 230
Parker, CO 80134
Phone (303) 777-2393

11960 Lioness Way
Ste 260
Parker, CO 80134
Phone (303) 214-4500

Organizations & group practices 2

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": "1458518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1013379965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 DISCOVERY BLVD STE 211",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132417",
            "telephone_number": "512-259-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 DISCOVERY BLVD STE 211",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132417",
            "telephone_number": "512-259-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKERRETT",
        "first_name": "TIMOTHY",
        "middle_name": "RYAN",
        "credential": "OTR / L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-21",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "117437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.

Verify at the official NPI Registry.