Skinner Physiotherapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SKINNER PHYSIOTHERAPY LLC

Doing business as

Renovo Physical Therapy and Welllness

Practice address

4848 S College Ave
Fort Collins, CO 80525-3770

Phone

(970) 430-6762

NPI assigned

Feb 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. John Mark Skinner, PT, DPTNPI 1871141713

Title

Owner

Phone

(662) 316-1785

Specialties & licenses 1

Addresses

Other names 1

• Renovo Physical Therapy and Welllness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Mark Skinner, PT, DPT

  • Physical Therapist
  • Fort Collins, CO
  • NPI 1871141713
  NPD Authorized official

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1346994639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 CONCORD DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261600",
            "telephone_number": "662-316-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 S COLLEGE AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253770",
            "telephone_number": "970-430-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINNER PHYSIOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-316-1785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renovo Physical Therapy and Welllness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Skelton
• Skibine Psychotherapy LLC
• Trevor Skibine
• Caitlin Skiff, RDH
• Shauna M Skillern, LMFT
• Christina Skinner
• John Mark Skinner, PT, DPT
• Lauren Audrey Skinner, NP
• Zachary Edward Skinner
• Alexandra M Skogen, PA

• Physical Therapy Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.