Individual provider Active NPI

Jeffrey Skowronski, PT

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1417272089
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0002574 Issued in DE
Practice address
2401 Pennsylvania Avenue
Suite 111
Wilmington, DE 19806-1432
Phone
(302) 655-8989
NPI assigned
Apr 7, 2010
Last updated
Dec 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0002574 DE Primary

Addresses

Primary practice location

2401 Pennsylvania Avenue
Suite 111
Wilmington, DE 19806-1432

Mailing address

4602 Big Rock Dr
Wilmington, DE 19802-1004

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
J1-0002574DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
United Therapy Centers, Inc. Physical Therapist Past Accepting new patients
Falcon Therapy and Fitness LLC Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Organizations & group practices 3

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": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1417272089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 BIG ROCK DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198021004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVENUE",
            "address_2": "SUITE 111",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061432",
            "telephone_number": "302-655-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOWRONSKI",
        "first_name": "JEFFREY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.