Individual provider Active NPI

Emily Sara Skillman, DPT

  • Physical Therapist
  • Clarksville, TN
National Provider Identifier
1487308813
Registry record updated Jan 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0017928 Issued in CO
Practice address
1176 Warfield Blvd
Clarksville, TN 37043-6005
Phone
(931) 552-7455
NPI assigned
Feb 4, 2022
Last updated
Jan 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2024

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 PTL.0017928 CO Primary

Addresses

Primary practice location

1176 Warfield Blvd
Clarksville, TN 37043-6005

Mailing address

1176 Warfield Blvd
Clarksville, TN 37043-6005
Phone (931) 552-7455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220825002995 GA Practitioner - Physical Therapist in Private Practice 6800270786 Reassigns benefits to 1 organization
I20230301001141 TN Practitioner - Physical Therapist in Private Practice 6800270786 Reassigns benefits to 1 organization
I20230314002083 CO Practitioner - Physical Therapist in Private Practice 6800270786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation LLCGroup PAC ID 2769723162, 423 clinicians
Empowerme Rehabilitation Colorado, LLCGroup PAC ID 0446641179, 99 clinicians

Practice addresses (Care Compare)

1020 Charlie Daniels Pkwy
Mount Juliet, TN 37122-3064
Phone (877) 367-9772

1176 Warfield Blvd
Clarksville, TN 37043-6005
Phone (877) 367-9772

2440 S Wabash St
Modena Cherry Creek
Denver, CO 80231-3808
Phone (314) 673-6747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Ga, LLC Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
Empowerme Rehabilitation Colorado, LLC Physical Therapist CurrentSince Feb 21, 2023 Accepting new patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Feb 21, 2023 Accepting new patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Feb 21, 2023 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

7 Carnegie Plz
Cherry Hill, NJ 08003

1176 Warfield Blvd
Clarksville, TN 37043
Phone (931) 552-7455

1020 Charlie Daniels Pkwy
Mt Juliet, TN 37122
Phone (615) 758-4800

Organizations & group practices 4

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": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704585600000",
    "number": "1487308813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 WARFIELD BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436005",
            "telephone_number": "931-552-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 WARFIELD BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436005",
            "telephone_number": "931-552-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILLMAN",
        "first_name": "EMILY",
        "middle_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2024; 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.

Verify at the official NPI Registry.