Individual provider Active NPI

Sandra Joan Skiff, PT

  • Physical Medicine & Rehabilitation Physician
  • Skaneateles, NY
National Provider Identifier
1588992127
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
16001 Issued in CA
Practice address
796 W Genesee Street Rd
Skaneateles, NY 13152-9311
Phone
(315) 726-1180
Fax
(315) 291-7048
NPI assigned
Nov 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 16001 CA Primary

Addresses

Primary practice location

796 W Genesee Street Rd
Skaneateles, NY 13152-9311

Mailing address

796 W Genesee Street Rd
Skaneateles, NY 13152-9311
Phone (315) 726-1180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140131000734 NY Practitioner - Physical Therapist in Private Practice 0446447239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1342 New Seneca Tpke
Skaneateles, NY 13152-8802
Phone (315) 685-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16001CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shelly Kraetz CurrentSince Sep 1, 2019 Accepting new patients
Kraetz Holdings LLC CurrentSince Apr 1, 2017 Accepting new patients
Mt. Shasta Physical Therapy, Inc. PastSince Oct 1, 2010 Accepting new patients
Better Life Coaching Solutions, LLC PastSince Apr 23, 2016 Accepting new patients
Casimir K Bobowski OD Past Accepting new patients

Locations

796 W Genesee Street Rd
Skaneateles, NY 13152
Phone (315) 291-0051

810 W Genesee Street Rd
Skaneateles, NY 13152
Phone (315) 291-7042

Organizations & group practices 6

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": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1588992127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 W GENESEE STREET RD",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131529311",
            "telephone_number": "315-726-1180",
            "fax_number": "315-291-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "796 W GENESEE STREET RD",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131529311",
            "telephone_number": "315-726-1180",
            "fax_number": "315-291-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIFF",
        "first_name": "SANDRA",
        "middle_name": "JOAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "16001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skaneateles, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.