Individual provider Active NPI

Pamela L Skonord, PT, ATC

  • Physical Therapist
  • Kalispell, MT
National Provider Identifier
1497744296
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
560PT Issued in MT
Practice address
115 Commons Way
Suite 101
Kalispell, MT 59901-1906
Phone
(406) 756-2555
Fax
(406) 756-2558
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 560PT MT Primary

Addresses

Primary practice location

115 Commons Way
Suite 101
Kalispell, MT 59901-1906

Mailing address

115 Commons Way
Suite 101
Kalispell, MT 59901-1906
Phone (406) 756-2555

Other identifiers 4

IdentifierTypeStateIssuer
0197817OtherMTWA STATE WORK COMP
3401281MedicaidMT
60553OtherMTBCBS PROVIDER #
MSF1244881OtherMTMT STATE FUND WORK COMP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
560PTMTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A and B Physical Therapy PLLC Physical Therapist PastSince May 17, 2021 Accepting new patients
Paula K. Mays Physical Therapist PastSince Jan 1, 1999 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497744296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 COMMONS WAY",
            "address_2": "SUITE 101",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011906",
            "telephone_number": "406-756-2555",
            "fax_number": "406-756-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 COMMONS WAY",
            "address_2": "SUITE 101",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011906",
            "telephone_number": "406-756-2555",
            "fax_number": "406-756-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKONORD",
        "first_name": "PAMELA",
        "middle_name": "L",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "560PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE WORK COMP",
            "identifier": "0197817",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401281",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "60553",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT STATE FUND WORK COMP",
            "identifier": "MSF1244881",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.