Individual provider Active NPI

Paul Skramstad, P.T.

  • Specialist
  • Parker, CO
National Provider Identifier
1689624165
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3108 Issued in CO
Practice address
10345 S Park Glenn Way
Ste. #220
Parker, CO 80138-3869
Phone
(303) 840-9202
Fax
(303) 840-8928
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3108 CO Primary

Addresses

Primary practice location

10345 S Park Glenn Way
Ste. #220
Parker, CO 80138-3869

Mailing address

PO Box 21150
Boulder, CO 80308-4150
Phone (303) 840-9202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040520001527 CO Practitioner - Physical Therapist in Private Practice 1658362330 Reassigns benefits to 1 organization
I20220518002077 NE Practitioner - Physical Therapist in Private Practice 1658362330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Colorado School of Medicine, Denver, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schrock Medical Clinic PCGroup PAC ID 1052686466, 10 clinicians

Practice addresses (Care Compare)

1616 W 39TH St
Suite a
Kearney, NE 68845-2922
Phone (308) 236-6499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3108COMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Schrock Medical Clinic PC CurrentSince May 2, 2022 Accepting new patients
Schrock Medical Clinic PC CurrentSince May 2, 2022 Accepting new patients
Colorado Athletic Conditioning Clinic Lowry Professional LLC CurrentSince Feb 13, 2004 Accepting new patients

Locations

5570 Powers Center Pt
Colorado Springs, CO 80920
Phone (719) 266-6022

3451 S Chambers Rd
Denver, CO 80014
Phone (303) 680-6121

10345 Parkglenn Way
Ste 220
Parker, CO 80138
Phone (303) 840-9202

1616 W 39th St
Kearney, NE 68845

1616 W 39th St
Ste A
Kearney, NE 68845
Phone (308) 236-6499

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1689624165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084150",
            "telephone_number": "303-840-9202",
            "fax_number": "303-840-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10345 S PARK GLENN WAY",
            "address_2": "STE. #220",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383869",
            "telephone_number": "303-840-9202",
            "fax_number": "303-840-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRAMSTAD",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "3108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.