Active NPI
Chelsie Skurka
- Occupational Therapy Assistant
- Columbus, IN
National Provider Identifier
1144600560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 32002674A
- Practice address
- 4610 25TH St
Columbus, IN 47203-3239 - Phone
- (812) 314-2378
- NPI assigned
- Jun 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 32002674A | IN | Primary |
Addresses
Primary practice location
4610 25TH St
Columbus, IN 47203-3239
Mailing address
4610 25TH St
Columbus, IN 47203-3239
Phone (812) 314-2378
Other practice location 1
1701 Library Blvd Ste A
Greenwood, IN 46142-1567
Phone (317) 881-9923
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
| License | State | Type | Specialty |
|---|---|---|---|
| 32002674A | IN | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collaborating for Kids, LLC | Past | 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.
-
- Clinical Psychologist
- Greenwood, IN
- NPI 1851626386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1144600560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4610 25TH ST",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472033239",
"telephone_number": "812-314-2378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4610 25TH ST",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472033239",
"telephone_number": "812-314-2378"
}
],
"practiceLocations": [
{
"address_1": "1701 Library Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "IN",
"postal_code": "461421567",
"country_code": "US",
"telephone_number": "317-881-9923",
"fax_number": "888-958-1788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKURKA",
"first_name": "CHELSIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-01",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IN",
"license": "32002674A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.