Individual provider Active NPI

Mackenzie Leigh Skoumal

  • Physical Therapist
  • Arvada, CO
National Provider Identifier
1184418659
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0020936 Issued in CO
Practice address
7878 Wadsworth Blvd Ste 210
Arvada, CO 80003-2121
Phone
(303) 456-8967
NPI assigned
Apr 8, 2025
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 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 PTL.0020936 CO Primary

Addresses

Primary practice location

7878 Wadsworth Blvd Ste 210
Arvada, CO 80003-2121

Mailing address

1726 S Columbian Rd
Oregon, IL 61061-9211
Phone (815) 217-5466

Other practice location 1

535 Centerville Rd Ste 101
Warwick, RI 02886-4376
Phone (401) 737-4581

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250923001547 RI Practitioner - Physical Therapist in Private Practice 9436678166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Therapy LLCGroup PAC ID 1951295187, 73 clinicians

Practice addresses (Care Compare)

535 Centerville Rd
Suite 101
Warwick, RI 02886-4376
Phone (401) 737-4581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0020936COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy, LLC Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients
Theraphysics Partners of Colorado, Inc. Past Accepting new patients
Select Physical Therapy of West Denver Limited Partnership PastSince Aug 18, 2019 Accepting new patients
Theraphysics Partners of Colorado, Inc. PastSince Dec 14, 2025 Accepting new patients
Theraphysics Partners of Colorado, Inc. PastSince Aug 1, 2018 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership Past Accepting new patients

Locations

535 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-4581

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1184418659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 S COLUMBIAN RD",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610619211",
            "telephone_number": "815-217-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7878 WADSWORTH BLVD STE 210",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032121",
            "telephone_number": "303-456-8967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Centerville Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028864376",
            "country_code": "US",
            "telephone_number": "401-737-4581",
            "fax_number": "401-737-6152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKOUMAL",
        "first_name": "MACKENZIE",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0020936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

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