Individual provider Active NPI

Shannon Victoria Skowbo

  • Hand Occupational Therapist
  • Hayward, CA
National Provider Identifier
1578135158
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
27993 Issued in CA
Practice address
22533 Foothill Blvd
Hayward, CA 94541-4109
Phone
(510) 732-7881
NPI assigned
Jul 14, 2021
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OTH-009689 AZ
Hand Occupational Therapist 225XH1200X 27993 CA Primary

Addresses

Primary practice location

22533 Foothill Blvd
Hayward, CA 94541-4109

Mailing address

22533 Foothill Blvd
Hayward, CA 94541-4109
Phone (209) 617-6051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240814004406 AZ Practitioner - Occupational Therapist in Private Practice 5799223251 Reassigns benefits to 1 organization
I20250911003010 CA Practitioner - Occupational Therapist in Private Practice 5799223251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

22533 Foothill Blvd
Hayward, CA 94541-4109
Phone (510) 732-7881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27993CAMDClinical Social Worker
OTH-009689AZMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Therapy Partners, LLC CurrentSince Aug 5, 2024 Accepting new patients
Select Cal Physical Therapy PC CurrentSince Aug 25, 2025 Accepting new patients
Select Cal Physical Therapy PC Hand Current Accepting new patients
Select Cal Physical Therapy PC Hand CurrentSince Aug 25, 2025 Accepting new patients
Hand Therapy Partners LLC Hand CurrentSince Aug 5, 2024 Accepting new patients

Locations

1450 S Dobson Rd
Ste 202
Mesa, AZ 85202
Phone (480) 454-6749

522 N Central Ave
Unit 679
Phoenix, AZ 85001

9130 W Thomas Rd
Ste A-105
Phoenix, AZ 85037
Phone (623) 226-8804

1470 Civic Ct
Ste 320
Concord, CA 94520
Phone (925) 326-2211

22533 Foothill Blvd
Hayward, CA 94541
Phone (510) 378-2114

Organizations & group practices 5

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": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1578135158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22533 FOOTHILL BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414109",
            "telephone_number": "209-617-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22533 FOOTHILL BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414109",
            "telephone_number": "510-732-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOWBO",
        "first_name": "SHANNON",
        "middle_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AZ",
            "license": "OTH-009689",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "27993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.