Individual provider Active NPI

Sandra D Martins-Skolny

  • Physical Therapist
  • Bath, NY
National Provider Identifier
1316278831
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030646-1 Issued in NY
Practice address
111 Williamson Terrace
NT
Bath, NY 14810
Phone
(607) 377-1912
NPI assigned
Jan 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 030646-1 NY Primary
Pediatric Physical Therapist 2251P0200X 0306461 NY

Addresses

Primary practice location

111 Williamson Terrace
NT
Bath, NY 14810

Mailing address

111 Williamson Terrace
NT
Bath, NY 14810
Phone (607) 377-1912

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191119002189 SC Practitioner - Physical Therapist in Private Practice 1153753777 Practice locations: Florence, SC

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Florence, SC 29501
Phone (607) 377-1912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030646-1NYMDPhysical Therapist
0306461NYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Myofascial Release and PT LLC CurrentSince Apr 6, 2025 Accepting new patients
Holistic Therapeutic Services of SC LLC CurrentSince Sep 8, 2019 Accepting new patients
Rosemary L Morgan-Lee Physical Therapist Current Accepting new patients

Organizations & group practices 3

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": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1316278831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WILLIAMSON TERRACE",
            "address_2": "NT",
            "city": "BATH",
            "state": "NY",
            "postal_code": "14810",
            "telephone_number": "607-377-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WILLIAMSON TERRACE",
            "address_2": "NT",
            "city": "BATH",
            "state": "NY",
            "postal_code": "14810",
            "telephone_number": "607-377-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINS-SKOLNY",
        "first_name": "SANDRA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030646-1",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "0306461",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.