Corbin Blaine Skinner, PT, DPT, OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1265056 Issued in TX

Practice address

21602 Rainfall Park Dr
Spring, TX 77388-2648

Phone

(713) 857-0003

Fax

(281) 323-4164

NPI assigned

Aug 8, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1497483564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21602 RAINFALL PARK DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773882648",
            "telephone_number": "713-857-0003",
            "fax_number": "281-323-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21602 RAINFALL PARK DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773882648",
            "telephone_number": "713-857-0003",
            "fax_number": "281-323-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "CORBIN",
        "middle_name": "BLAINE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1265056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2813234164",
            "affiliation": "N",
            "endpointDescription": "Fax Machine",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax machine",
            "address_1": "21602 Rainfall Park Dr",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773882648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Andrew Sitters, D.D.S.
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• George P Skaria, M.D.
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• Adrian Rashad Skinner
• Skyline Counseling Center PLLC
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• Valarie Jane Sledge
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• Sleepright Diagnostic Center LLC

• Orthopedic Physical Therapist in Spring, TX
• Providers in Spring, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.