Active NPI
Paula Ann Skurka, MSPT, ATCL, CSCS
- Physical Therapist
- Schererville, IN
National Provider Identifier
1346390358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05007558A
- Practice address
- 1545 W US Highway 30
Schererville, IN 46375-1562 - Phone
- (219) 836-5381
- Fax
- (219) 836-4466
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05007558A | IN | Primary |
| Athletic Trainer | 2255A2300X | 069902698 | IN |
Addresses
Primary practice location
1545 W US Highway 30
Schererville, IN 46375-1562
Mailing address
8558 Broadway
Merrillville, IN 46410-7032
Phone (219) 392-7084
Other practice location 1
1020 E Commercial Ave
Lowell, IN 46356-2310
Phone (219) 696-6353
Other practice location 2
9615 Keilman St
St. John, IN 46373
Phone (219) 365-0228
Other names 1
- Miss Paula A Doering
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8233 Wicker Ave
Saint John, IN 46373-8878
Phone (219) 627-3342
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069902698 | IN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports PT, LLC | Physical Therapist | Past | Accepting new patients |
| Munster Radiology Group PC | Past | Accepting new patients | |
| Great Lakes Orthopedics & Sports Medicine, PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/10531/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Saint John, IN
- NPI 1588918486
-
- Orthopaedic Surgery Physician
- Saint John, IN
- NPI 1669472270
-
- Diagnostic Radiology Physician
- Munster, IN
- NPI 1144207101
-
- Physical Therapist
- Crown Point, IN
- NPI 1760627434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1346390358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8558 BROADWAY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107032",
"telephone_number": "219-392-7084",
"fax_number": "219-703-6854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 W US HIGHWAY 30",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751562",
"telephone_number": "219-836-5381",
"fax_number": "219-836-4466"
}
],
"practiceLocations": [
{
"address_1": "1020 E Commercial Ave",
"address_purpose": "LOCATION",
"city": "Lowell",
"state": "IN",
"postal_code": "463562310",
"country_code": "US",
"telephone_number": "219-696-6353",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9615 Keilman St",
"address_purpose": "LOCATION",
"city": "St. John",
"state": "IN",
"postal_code": "46373",
"country_code": "US",
"telephone_number": "219-365-0228",
"fax_number": "219-365-0229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKURKA",
"first_name": "PAULA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MSPT, ATCL, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05007558A",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "069902698",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAULA",
"last_name": "DOERING",
"middle_name": "A",
"prefix": "MISS",
"credential": "MSPT, ATCL, CSCS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Schererville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.