Active NPI
Skye Pauly Reinking, PT
- Orthopedic Physical Therapist
- Ketchum, ID
National Provider Identifier
1245879105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT-8497
- 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
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 |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT-8497 | ID | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zenergy Partners LLC | Physical Therapist | Current | Accepting new patients |
| Ieg Zenergy, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Ketchum, ID
- NPI 1427936004
-
- Physical Therapist
- Bothell, WA
- NPI 1114376563
-
- Physical Therapist
- Portland, OR
- NPI 1700862000
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.