Organization Active NPI

Skillzrus

  • Prosthetic/Orthotic Supplier
  • Philadelphia, PA
National Provider Identifier
1013541705
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SKILLZRUS
Doing business as
skillzrus
Practice address
2414 N Garnet St
Philadelphia, PA 19132-3725
Phone
(267) 234-3333
NPI assigned
Mar 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
Sade DavisNPI 1174156012
Title
Cosmetologist
Phone
(267) 234-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2414 N Garnet St
Philadelphia, PA 19132-3725

Mailing address

2414 N Garnet St
Philadelphia, PA 19132-3725
Phone (267) 234-3333

Other names 1

  • skillzrus Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1013541705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 N GARNET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191323725",
            "telephone_number": "267-234-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 N GARNET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191323725",
            "telephone_number": "267-234-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLZRUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SADE",
        "authorized_official_title_or_position": "COSMETOLOGIST",
        "authorized_official_telephone_number": "267-234-3333"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "skillzrus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.