Active NPI
Nicholas Adam Skagen, DPT
- Physical Medicine & Rehabilitation Physician
- Tuscaloosa, AL
National Provider Identifier
1609596584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PTH9030
- Practice address
- 2201 Jack Warner Pkwy
Tuscaloosa, AL 35401-1090 - Phone
- (205) 523-5618
- Fax
- (205) 462-7125
- NPI assigned
- Aug 31, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PTH9030 | AL | Primary |
Addresses
Primary practice location
2201 Jack Warner Pkwy
Tuscaloosa, AL 35401-1090
Mailing address
700 High Field Rd
Tuscaloosa, AL 35405-9417
Phone (205) 826-5536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221212001898 | AL | Practitioner - Physical Therapist in Private Practice | 4880063940 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
535 Jack Warner Pkwy NE
Tuscaloosa, AL 35404-5715
Phone (205) 826-5536
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH9030 | AL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flowstate Physical Therapy and Injury Prevention LLC | Current | Accepting new patients | |
| Alpha Neuron, LLC | Current | Accepting new patients | |
| Alpha Neuron, LLC | Current | Accepting new patients |
Locations
2201 Jack Warner Pkwy
Tuscaloosa, AL 35401
Phone (205) 523-5618
535 Jack Warner Pkwy NE
Ste G2
Tuscaloosa, AL 35404
Phone (205) 507-1264
Organizations & group practices 3
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.
-
- Physical Therapist
- Tuscaloosa, AL
- NPI 1861233611
AL
-
- Neurology Physician
- Tuscaloosa, AL
- NPI 1477162576
-
- Neurology Physician
- Tuscaloosa, AL
- NPI 1528670643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1609596584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 HIGH FIELD RD",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354059417",
"telephone_number": "205-826-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 JACK WARNER PKWY",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354011090",
"telephone_number": "205-523-5618",
"fax_number": "205-462-7125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKAGEN",
"first_name": "NICHOLAS",
"middle_name": "ADAM",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AL",
"license": "PTH9030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.