Individual provider Active NPI

Katherine E Skibiski, PHYSICAL THERAPIST

  • Specialist
  • Fulton, MO
National Provider Identifier
1659568574
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2007023013 Issued in MO
Practice address
850 N Hospital Dr
Suite H
Fulton, MO 65251-2535
Phone
(573) 642-8541
Fax
(573) 642-8500
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2007023013 MO Primary

Addresses

Primary practice location

850 N Hospital Dr
Suite H
Fulton, MO 65251-2535

Mailing address

850 N Hospital Dr
Suite H
Fulton, MO 65251-2535
Phone (573) 642-8541

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Physical Therapy & Sports Medicine Specialist Past Accepting new patients

Organizations & group practices 1

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1659568574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N HOSPITAL DR",
            "address_2": "SUITE H",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512535",
            "telephone_number": "573-642-8541",
            "fax_number": "573-642-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N HOSPITAL DR",
            "address_2": "SUITE H",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512535",
            "telephone_number": "573-642-8541",
            "fax_number": "573-642-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIBISKI",
        "first_name": "KATHERINE",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "2007023013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.