Skillz 4 Life, Inc

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

SKILLZ 4 LIFE, INC

Practice address

3814 Greenwich Rd
Louisville, KY 40218-1616

Phone

(502) 855-1271

NPI assigned

Sep 22, 2016

Last updated

Sep 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marleeta Harris, OTR/LNPI 1457787301

Title

President and Ceo

Phone

(502) 855-1271

Specialties & licenses 5

Addresses

Tax ID family

Skillz 4 Life Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Skillz 4 Life, Inc.

  • Pediatric Occupational Therapist
  • Louisville, KY
  • NPI 1881044675
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marleeta Joyce Harris, OTR/L

  • Occupational Therapist
  • Louisville, KY
  • NPI 1457787301
  Authorized official Same address or phone

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1487103271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 GREENWICH RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181616",
            "telephone_number": "502-855-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 GREENWICH RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181616",
            "telephone_number": "502-855-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLZ 4 LIFE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARLEETA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "502-855-1271",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Skeries, D.C.
• SKG Health PLLC
• Brittney Skidmore, MS, CCC-SLP
• Robert Skiles, D.M.D.
• Skillz 4 Life Therapy
• Skillz 4 Life, Inc.
• Skin Group PLLC (Dermatopathology Consultants)
• Skin Group PLLC
• Aaron Neal Skinner, MD
• Amy Ruth Skinner, MS OTR/L

• Occupational Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.