Individual provider Active NPI

Paul Skousen, DPT

  • Physical Therapist
  • Carrollton, TX
National Provider Identifier
1144812280
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1342428 Issued in TX
Practice address
4100 Fairway Dr Ste 400
Carrollton, TX 75010-6538
Phone
(972) 979-6577
Fax
(972) 979-6951
NPI assigned
Feb 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1342428 TX Primary

Addresses

Primary practice location

4100 Fairway Dr Ste 400
Carrollton, TX 75010-6538

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

1000 N Preston Rd Ste 50
Prosper, TX 75078-8859
Phone (972) 347-9756

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210326002253 TX Practitioner - Physical Therapist in Private Practice 0345657953 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6420 N Macarthur Blvd
Suite 130
Irving, TX 75039-2871
Phone (972) 979-6577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1342428TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Orthopedics and Sports Medicine PLLC CurrentSince Nov 10, 2021 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Apr 28, 2025 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Feb 3, 2021 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Apr 28, 2025 Accepting new patients
Star Orthopedics and Sports Medicine PLLC CurrentSince Nov 10, 2021 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Feb 3, 2021 Accepting new patients
Heritage Surgical Assist Associates PLLC PastSince Nov 10, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

5550 Warren Pkwy
Ste 200
Frisco, TX 75034
Phone (469) 850-0680

6420 N MacArthur Blvd
Ste 130
Irving, TX 75039
Phone (972) 402-8300

1000 N Preston Rd
Ste 50
Prosper, TX 75078
Phone (972) 347-9756

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

Organizations & group practices 7

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": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1144812280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 FAIRWAY DR STE 400",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106538",
            "telephone_number": "972-979-6577",
            "fax_number": "972-979-6951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Preston Rd Ste 50",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750788859",
            "country_code": "US",
            "telephone_number": "972-347-9756",
            "fax_number": "972-347-9761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKOUSEN",
        "first_name": "PAUL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-10",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1342428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.