Individual provider Active NPI

Sabrina Skelton, MPT

  • Clinical Electrophysiology Physical Therapist
  • Las Cruces, NM
National Provider Identifier
1205913670
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
License
2857 Issued in NM
Practice address
2404 S Locust St
Suite 5
Las Cruces, NM 88001-5789
Phone
(505) 521-4188
Fax
(505) 521-3668
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2857 NM
Clinical Electrophysiology Physical Therapist 2251E1300X 2857 NM Primary

Addresses

Primary practice location

2404 S Locust St
Suite 5
Las Cruces, NM 88001-5789

Mailing address

2404 S Locust St
Ste 5
Las Cruces, NM 88001-5789
Phone (575) 521-4188

Other identifiers 2

IdentifierTypeStateIssuer
70031380MedicaidNM
NM00Q436OtherNMBCBS NM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040413000912 NM Practitioner - Physical Therapist in Private Practice 5193719052 Reassigns benefits to 2 organizations
I20170519000665 TX Practitioner - Physical Therapist in Private Practice 5193719052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Real View Diagnostics LLCGroup PAC ID 4082081450, 3 clinicians

Practice addresses (Care Compare)

2404 S Locust St
Suite 1
Las Cruces, NM 88001-5789
Phone (575) 215-1580

900 Talbot Ave
Suite H
El Paso, TX 79835-5539
Phone (575) 215-1580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2857NMMDClinical Electrophysiology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Real View Diagnostics LLC Physical Therapist CurrentSince Jun 8, 2022 Accepting new patients
Southwest Sport and Spine Center Inc Physical Therapist CurrentSince Oct 1, 2006 Accepting new patients
Porto Uniao, Inc Past Accepting new patients
Ironwood Drive Physical Therapy, PA Physical Therapist PastSince Mar 16, 2020 Accepting new patients

Locations

1181 Mall Dr
Ste C
Las Cruces, NM 88011
Phone (575) 522-0766

2404 S Locust St
Ste 1
Las Cruces, NM 88001
Phone (575) 215-1580

1181 Mall Dr
Las Cruces, NM 88011
Phone (505) 521-1111

2404 S Locust St
Ste 5
Las Cruces, NM 88001
Phone (505) 521-4188

900 Talbot Ave
Ste H
El Paso, TX 79835
Phone (575) 215-1580

1845 Northwestern Dr
Ste B
El Paso, TX 79912
Phone (915) 875-1559

Organizations & group practices 4

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1205913670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 S LOCUST ST",
            "address_2": "STE 5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015789",
            "telephone_number": "575-521-4188",
            "fax_number": "575-521-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 S LOCUST ST",
            "address_2": "SUITE 5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015789",
            "telephone_number": "505-521-4188",
            "fax_number": "505-521-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELTON",
        "first_name": "SABRINA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2857",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "NM",
            "license": "2857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70031380",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NM",
            "identifier": "NM00Q436",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.