Individual provider Active NPI

Skye Pauly Reinking, PT

  • Orthopedic Physical Therapist
  • Ketchum, ID
National Provider Identifier
1245879105
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT-8497 Issued in ID
Practice address
245 Raven Rd
Suite B
Ketchum, ID 83340
Phone
(208) 726-7246
NPI assigned
Dec 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT-8497 ID Primary

Addresses

Primary practice location

245 Raven Rd
Suite B
Ketchum, ID 83340

Mailing address

PO Box 7063
Ketchum, ID 83340-7063
Phone (509) 393-0886

Other names 1

  • Skye Alisa Pauly Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221130000570 ID Practitioner - Physical Therapist in Private Practice 2163857384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Colorado School of Medicine, Denver, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ieg Zenergy, LLCGroup PAC ID 9830477587, 7 clinicians

Practice addresses (Care Compare)

245 Raven Rd
Suite B
Ketchum, ID 83340
Phone (208) 726-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-8497IDMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zenergy Partners LLC Physical Therapist CurrentSince Feb 26, 2026 Accepting new patients
Ieg Zenergy, LLC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

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": "1577145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1245879105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7063",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "833407063",
            "telephone_number": "509-393-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 RAVEN RD",
            "address_2": "SUITE B",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "83340",
            "telephone_number": "208-726-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINKING",
        "first_name": "SKYE",
        "middle_name": "PAULY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-24",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ID",
            "license": "PT-8497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SKYE",
            "last_name": "PAULY",
            "middle_name": "ALISA",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ketchum, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.