Active NPI
Katherine Ann Skelton, PTA
- Physical Therapy Assistant
- Livermore, CA
National Provider Identifier
1437310778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AT 1266
- Practice address
- 76 Fenton St
Livermore, CA 94550-4144 - Phone
- (925) 443-1800
- Fax
- (925) 443-1411
- NPI assigned
- Jun 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | AT 1266 | CA | Primary |
| Physical Therapy Assistant | 225200000X | 1266 | CA |
Addresses
Primary practice location
76 Fenton St
Livermore, CA 94550-4144
Mailing address
76 Fenton St
Livermore, CA 94550-4144
Phone (925) 443-1800
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT 1266 | CA | MD | Physical Therapy Assistant |
| 1266 | CA | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213833600000",
"number": "1437310778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 FENTON ST",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945504144",
"telephone_number": "925-443-1800",
"fax_number": "925-443-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 FENTON ST",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945504144",
"telephone_number": "925-443-1800",
"fax_number": "925-443-1411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKELTON",
"first_name": "KATHERINE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2008-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT 1266",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "1266",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livermore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.