Clint Wayne Skoog, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2048956 Issued in TX

Practice address

3200 Slaughter LN W
Austin, TX 78748-5706

Phone

(512) 282-0141

NPI assigned

Jul 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1689874646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 UNITED KINGDOM DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486472",
            "telephone_number": "361-894-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SLAUGHTER LN W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485706",
            "telephone_number": "512-282-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOOG",
        "first_name": "CLINT",
        "middle_name": "WAYNE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "2048956",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2048956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Skinner, R.D.,L.D.
• Robert A. Skjonsby, MD
• Daniel Neil Skoglund, M.D.
• Ella Jane Skoler, DMD
• Amanda Skonetski, LPC
• Skoro Enterprises LLC
• John Skoro IV, RN, CNRN
• Nicole Skotz
• Kristin Skovgard, RD
• McKenzie Skowronek

• Physical Therapy Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.