Individual provider Active NPI

Joshua David Skilken, LMT

  • Massage Therapist
  • Dayton, OH
National Provider Identifier
1710696653
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.026059 Issued in OH
Practice address
5305 N Main St
Dayton, OH 45415-3644
Phone
(937) 813-2378
NPI assigned
Nov 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 33.026059 OH Primary

Addresses

Primary practice location

5305 N Main St
Dayton, OH 45415-3644

Mailing address

5305 N Main St
Dayton, OH 45415-3644
Phone (937) 813-2378

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL SOAPnotes Other

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

LicenseStateTypeSpecialty
33.026059OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
El Welch Enterprises LLC CurrentSince Nov 20, 2022 Accepting new patients

Locations

5305 N Main St
Dayton, OH 45415
Phone (937) 231-4928

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": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1710696653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153644",
            "telephone_number": "937-813-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153644",
            "telephone_number": "937-813-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILKEN",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.026059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SOAPnotes",
            "affiliation": "N",
            "endpointDescription": "Subjective Objective assessment Plan for documentation of therapeutic touch massage",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Documentation of why client came in for services and what services were provided",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "spa marybelle documentation",
            "address_1": "5305 N Main St",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454153644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.