SKR Wellness LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SKR WELLNESS LLC

Practice address

Two Bala Plaza
Suite 300
Bala Cynwyd, PA 19004-1512

Phone

(484) 235-2602

NPI assigned

Dec 9, 2021

Last updated

Jan 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah Chambers

Title

Office Administrator

Phone

(469) 534-3669

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1720747561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TWO BALA PLAZA",
            "address_2": "SUITE 300",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041512",
            "telephone_number": "484-235-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TWO BALA PLAZA",
            "address_2": "SUITE 300",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041512",
            "telephone_number": "484-235-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKR WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "469-534-3669"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "website",
            "affiliation": "N",
            "address_1": "Two Bala Plaza",
            "address_2": "Suite 300",
            "city": "Bala Cynwyd",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190041512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Simelson-Warr, MSPT
• Williametta Simmons, PSY.D/MBA
• Raven Brianna Sims, DPT
• Lydia Kay Sit, MD
• Anastasia Skliros, PSYD
• Kelly J Slothower, DPT
• Sarah Small
• Simon B Small, DPM
• Georgetta Smith, MS
• Maasi Jacob Smith, DPM

• Physical Medicine & Rehabilitation Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.