Individual provider Active NPI

Caroline Marilyn Skill

  • Rehabilitation Clinic/Center
  • Brownsville, TX
National Provider Identifier
1124658786
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
16131 Issued in TX
Practice address
864 Central Blvd Ste 3200
Brownsville, TX 78520-8282
Phone
(956) 280-5491
Fax
(956) 350-9390
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 16131 TX Primary

Addresses

Primary practice location

864 Central Blvd Ste 3200
Brownsville, TX 78520-8282

Mailing address

864 Central Blvd Ste 3200
Brownsville, TX 78520-8282
Phone (956) 280-5491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16131TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Therapy, LLC PastSince Jan 26, 2020 Accepting new patients

Organizations & group practices 1

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": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1124658786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 CENTRAL BLVD STE 3200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208282",
            "telephone_number": "956-280-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 CENTRAL BLVD STE 3200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208282",
            "telephone_number": "956-280-5491",
            "fax_number": "956-350-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILL",
        "first_name": "CAROLINE",
        "middle_name": "MARILYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": "16131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.