Individual provider Active NPI

Paula Ann Skurka, MSPT, ATCL, CSCS

  • Physical Therapist
  • Schererville, IN
National Provider Identifier
1346390358
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05007558A Issued in IN
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

Updated by the provider on May 28, 2020

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 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 Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050505000784 IN Practitioner - Physical Therapist in Private Practice 1658311931 Reassigns benefits to 1 organization

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
Tricore Physical Therapy IncGroup PAC ID 2860646486, 5 clinicians

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

LicenseStateTypeSpecialty
069902698INMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Sports PT, LLC Physical Therapist Past Accepting new patients
Munster Radiology Group PC PastSince May 31, 2020 Accepting new patients
Great Lakes Orthopedics & Sports Medicine, PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.