Holly A Skuban, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

004914-1 Issued in NY

Practice address

863 Front St
Binghamton, NY 13905-1540

Phone

(607) 722-3463

NPI assigned

Nov 21, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1467796961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MORGAN RD",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139033656",
            "telephone_number": "607-343-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 FRONT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139051540",
            "telephone_number": "607-722-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKUBAN",
        "first_name": "HOLLY",
        "middle_name": "A",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "004914-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Sindon
• Rebecca Singer, RN
• Madiha Siraj, MD
• Ankitha Sivanand, MD
• Dee Skinner, LPN
• Kayla Slater
• Thomas Slater
• Joseph Slavetskas, CRNA
• Tina Marie Slocum, CNM
• Amanda Kathryn Slowik, PSY.D.

• Physical Therapy Assistant in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.