Collin R Skilling, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3689 Issued in ME

Practice address

15 Strawberry Ave
Lewiston, ME 04240-5941

Phone

(207) 576-7381

NPI assigned

Nov 16, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1316549231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 STRAWBERRY AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405941",
            "telephone_number": "207-576-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STRAWBERRY AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405941",
            "telephone_number": "207-576-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILLING",
        "first_name": "COLLIN",
        "middle_name": "R",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT3689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Singh, MD
• Katrina Lynn Sink, MD
• Sirus Hamzavi, MD LLC PA
• Peter R Siviski, M.D.
• Michael R Sivulich, MD
• Henry C. Skinner, MD
• John W Skinner, M.D.
• Kryse S. Skye, LCSW
• Maura E Slater, OT
• Cameron Slicer

• Occupational Therapist in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.