Active NPI
Kristine Ann Skinner
- Physical Therapist
- Valley Cottage, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 020314-1
- Practice address
- 704 Executive Blvd Ste H
Valley Cottage, NY 10989-2023 - Phone
- (845) 268-7800
- NPI assigned
- Nov 2, 2006
- 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 Therapist | 225100000X | 40QA0923300 | NJ | |
| Physical Therapist | 225100000X | 020314-1 | NY | Primary |
Addresses
Primary practice location
704 Executive Blvd Ste H
Valley Cottage, NY 10989-2023
Mailing address
900 Route 9 N FL 4
Woodbridge, NJ 07095-1025
Other practice location 1
47 S Washington Ave
Bergenfield, NJ 07621-2324
Phone (201) 384-2525
Other names 1
- Kristine Ann Loock
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7 -11 S Broadway
White Plains, NY 10601-3531
Phone (914) 898-3090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA0923300 | NJ | MD | Physical Therapist |
| 020314-1 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RB Physical and Occupational Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Sportscare Institute, Inc. | Physical Therapist | Past | Accepting new patients |
| One on One Physical Therapy Services PLLC | Physical Therapist | Past | Accepting new patients |
Locations
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
900 Route 9 N
Ste 410
Woodbridge, NJ 07095
900 Route 9 N
Fl 4
Woodbridge, NJ 07095
135 E Erie St
Blauvelt, NY 10913
Phone (845) 268-7800
4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949
976 Amsterdam Ave
New York, NY 10025
Phone (212) 222-9305
100 N Middletown Rd
Pearl River, NY 10965
Phone (845) 589-0556
47 Route 303
Tappan, NY 10983
Phone (845) 848-2506
704 Executive Blvd
Ste H
Valley Cottage, NY 10989
Phone (845) 268-7800
704 Executive Blvd
Valley Cottage, NY 10989
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 and National Provider Directory roles.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1790013282
-
- Physical Therapist
- Brooklyn, NY
- NPI 1740423219
-
- Physical Therapist
- Toms River, NJ
- NPI 1275501074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1457430530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 ROUTE 9 N FL 4",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070951025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 EXECUTIVE BLVD STE H",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109892023",
"telephone_number": "845-268-7800"
}
],
"practiceLocations": [
{
"address_1": "47 S Washington Ave",
"address_purpose": "LOCATION",
"city": "Bergenfield",
"state": "NJ",
"postal_code": "076212324",
"country_code": "US",
"telephone_number": "201-384-2525",
"fax_number": "201-384-2625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKINNER",
"first_name": "KRISTINE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA0923300",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "020314-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINE",
"last_name": "LOOCK",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Valley Cottage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.