Skilled Physio

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SKILLED PHYSIO

Practice address

1442 Sycamore PL
Mandeville, LA 70448-1075

Phone

(787) 617-6671

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Sonia M Correa, MSPT

Title

Director

Phone

(787) 617-6671

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1306563929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 SYCAMORE PL",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704481075",
            "telephone_number": "787-617-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 SYCAMORE PL",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704481075",
            "telephone_number": "787-617-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLED PHYSIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-617-6671",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Madere Shreve, MSW LCSW
• Roxie Sibley, BA - SOCIOLOGY
• Christen Simpkins, RDMS
• Angele Marie Sirgo, LCSW-BACS, CCM
• Erica Sjunnesen, MD
• Dawn V Skinner, MA CCC SLP
• Kentucky R Skinner, O-PA/C
• Shawn D Skinner, PT
• Sleep Solutions of the Northshore, L.L.C.
• Sleep Solutions of the Northshore, L.L.C.

• Physical Therapist in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.