Active NPI
Craig Skorich, OTR/L, CAPS
- Occupational Therapist
- St Augustine, FL
National Provider Identifier
1598453201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT12597
- Practice address
- 292 Brantley Harbor Dr
St Augustine, FL 32086-1822 - Phone
- (904) 315-1782
- NPI assigned
- May 1, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT12597 | FL | Primary |
Addresses
Primary practice location
292 Brantley Harbor Dr
St Augustine, FL 32086-1822
Mailing address
292 Brantley Harbor Dr
St Augustine, FL 32086-1822
Phone (904) 315-1782
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT12597 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1598453201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 BRANTLEY HARBOR DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320861822",
"telephone_number": "904-315-1782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 BRANTLEY HARBOR DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320861822",
"telephone_number": "904-315-1782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKORICH",
"first_name": "CRAIG",
"credential": "OTR/L, CAPS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-01",
"certification_date": "2023-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT12597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.