Individual provider Active NPI

James Skoczen Jr., PT

  • Physical Therapist
  • Westerville, OH
National Provider Identifier
1285904011
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.013527 Issued in OH
Practice address
560 N Cleveland Ave
Westerville, OH 43082-9105
Phone
(614) 839-2300
Fax
(614) 839-2301
NPI assigned
Jan 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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 PT.013527 OH Primary

Addresses

Primary practice location

560 N Cleveland Ave
Westerville, OH 43082-9105

Mailing address

560 N Cleveland Ave
Westerville, OH 43082-9105
Phone (614) 839-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT.013527OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1285904011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 N CLEVELAND AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829105",
            "telephone_number": "614-839-2300",
            "fax_number": "614-839-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N CLEVELAND AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829105",
            "telephone_number": "614-839-2300",
            "fax_number": "614-839-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOCZEN",
        "first_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-11",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.013527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.