Individual provider Active NPI

Gabriela Skoczylas, OTR/L

  • Occupational Therapist
  • Goodyear, AZ
National Provider Identifier
1336797067
Registry record updated Aug 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-008805 Issued in AZ
Practice address
13481 W McDowell Rd Ste 300
Goodyear, AZ 85395-2724
Phone
(623) 536-2325
NPI assigned
Aug 27, 2019
Last updated
Aug 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 77891294201 UT
Occupational Therapist 225X00000X OTH-008805 AZ Primary

Addresses

Primary practice location

13481 W McDowell Rd Ste 300
Goodyear, AZ 85395-2724

Mailing address

4222 S 186TH Ave
Goodyear, AZ 85338-7974
Phone (801) 783-8251

Other practice location 1

1136 E Wilmington Ave
Salt Lake City, UT 84106-2819
Phone (801) 581-2221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831003120 AZ Practitioner - Occupational Therapist in Private Practice 0941636617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13481 W McDowell Rd
Suite 300
Goodyear, AZ 85395-2720
Phone (623) 536-2325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTH-008805AZMDOccupational Therapist
77891294201UTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RWW Outpatient Rehab Services, LLC Occupational Therapist CurrentSince Aug 22, 2022 Accepting new patients
RWW Outpatient Rehab Services, LLC Occupational Therapist CurrentSince Aug 22, 2022 Accepting new patients

Locations

13481 W McDowell Rd
Ste 300
Goodyear, AZ 85395
Phone (623) 536-2325

1190 E Missouri Ave
Ste 100
Phoenix, AZ 85014
Phone (602) 393-0520

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660348800000",
    "number": "1336797067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 S 186TH AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387974",
            "telephone_number": "801-783-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13481 W MCDOWELL RD STE 300",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952724",
            "telephone_number": "623-536-2325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1136 E Wilmington Ave",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841062819",
            "country_code": "US",
            "telephone_number": "801-581-2221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKOCZYLAS",
        "first_name": "GABRIELA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2022-08-13",
        "certification_date": "2022-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "77891294201",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-008805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2022; 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.