SKB Therapy Services Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

914373 Issued in CO

Legal business name

SKB THERAPY SERVICES INC

Practice address

10694 W 85TH PL
Arvada, CO 80005-4714

Phone

(303) 263-0394

NPI assigned

Aug 22, 2008

Organization subpart

No

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

Authorized official

Name

Sandra K Blacketer, OTR

Title

Owner

Phone

(303) 263-0394

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1285881011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10694 W 85TH PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800054714",
            "telephone_number": "303-263-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10694 W 85TH PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800054714",
            "telephone_number": "303-263-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKB THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACKETER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-263-0394",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "CO",
            "license": "914373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24888231",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sky High Vision, PLLC
• Jennifer Liani Slack, LCSW

• Developmental Disabilities Clinic/Center in Arvada, CO
• Providers in Arvada, CO by specialty
• Developmental Disabilities Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.