Barbara Karen Skurdall, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501004975 Issued in MI

Practice address

272 S. Benzie Blvd.
#302
Beulah, MI 49617-0800

Phone

(231) 882-7171

Fax

(231) 882-7177

NPI assigned

Sep 25, 2007

Last updated

Sep 25, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1396932117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800",
            "city": "BEULAH",
            "state": "MI",
            "postal_code": "496170800",
            "telephone_number": "231-882-7171",
            "fax_number": "231-882-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 S. BENZIE BLVD.",
            "address_2": "#302",
            "city": "BEULAH",
            "state": "MI",
            "postal_code": "496170800",
            "telephone_number": "231-882-7171",
            "fax_number": "231-882-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKURDALL",
        "first_name": "BARBARA",
        "middle_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "650-AO-5701-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Jean Roth, LLPC
• Lisa A Rutowski, LLP
• Angela Sanchez
• Chloe Anne Sandy
• Jacob Shuler, DPT
• Rachelle Stapleton, RD
• Ann Louise Strehle, P.T.
• Jonathan Young

• Physical Therapist in Beulah, MI
• Providers in Beulah, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.