Maren Ann Skovera, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1454-019 Issued in WI

Practice address

600 S Webster Ave
Green Bay, WI 54301-3503

Phone

(920) 432-3213

Fax

(920) 432-0614

NPI assigned

Jan 30, 2009

Last updated

Jan 30, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1578701496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E GLENBROOK DR",
            "city": "PULASKI",
            "state": "WI",
            "postal_code": "541629423",
            "telephone_number": "920-609-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013503",
            "telephone_number": "920-432-3213",
            "fax_number": "920-432-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOVERA",
        "first_name": "MAREN",
        "middle_name": "ANN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1454-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn M Skelley, PT, DPT
• Colton Skenandore, PA-C
• Crystal Skenandore, LPC
• Erik Paul Skoe
• Sela Rose Skoe, DDS
• Christopher Jon Skowlund, MD
• Lois Skrivanie, RN
• Brianna Lynn Skrzypcak, MD
• Philip Thomas Skummer
• James I Sladky, MD

• Physical Therapy Assistant in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.