Individual provider Active NPI

Gregory Stephen Skarbek, OTR

  • Pediatric Occupational Therapist
  • Punxsutawney, PA
National Provider Identifier
1396954442
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OC008100 Issued in PA
Practice address
3618 Airport Rd
Punxsutawney, PA 15767-9764
Phone
(814) 938-3818
NPI assigned
May 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OC008100 PA Primary

Addresses

Primary practice location

3618 Airport Rd
Punxsutawney, PA 15767-9764

Mailing address

3618 Airport Rd
Punxsutawney, PA 15767-9764
Phone (814) 938-3818

Other identifiers 1

IdentifierTypeStateIssuer
01887655MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC008100PAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cen Clear Child Services PastSince Mar 24, 2018 Accepting new patients

Organizations & group practices 1

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396954442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 AIRPORT RD",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157679764",
            "telephone_number": "814-938-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 AIRPORT RD",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157679764",
            "telephone_number": "814-938-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKARBEK",
        "first_name": "GREGORY",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC008100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01887655",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.