Active NPI
Jennifer L Skaling, PT
- Physical Therapist
- Willowbrook, IL
National Provider Identifier
1730153057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070016406
- Practice address
- 337 75TH St
Willowbrook, IL 60527-2366 - Phone
- (630) 789-0004
- Fax
- (630) 789-0095
- NPI assigned
- Feb 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT011766L | PA | |
| Physical Therapist | 225100000X | 070016406 | IL | Primary |
Addresses
Primary practice location
337 75TH St
Willowbrook, IL 60527-2366
Mailing address
205 W Wacker Dr
Suite 1020
Chicago, IL 60606-1216
Phone (312) 640-0329
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 567700 | Other | IL | MEDICARE GROUP NUMBER |
| 568150 | Other | IL | MEDICARE GROUP NUMBER |
| 161998 | Other | IL | BCBS OF IL |
| 568080 | Other | IL | MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3409 W Chester Pike
Suite 202
Newtown Square, PA 19073-4290
Phone (610) 601-9177
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.62 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 52.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070016406 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic and Sports Physical Therapy Services, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282
475 Allendale Rd
Ste 206
Kng of Prussa, PA 19406
Phone (610) 270-0370
Organizations & group practices 2
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.
-
- Sports Medicine (Family Medicine) Physician
- Newtown Square, PA
- NPI 1083239982
-
dba Excel Physical Therapy
- Physical Therapist
- Philadelphia, PA
- NPI 1588661235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228262400000",
"number": "1730153057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W WACKER DR",
"address_2": "SUITE 1020",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606061216",
"telephone_number": "312-640-0329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 75TH ST",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605272366",
"telephone_number": "630-789-0004",
"fax_number": "630-789-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKALING",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2008-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT011766L",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070016406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "567700",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "568150",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL",
"identifier": "161998",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "568080",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willowbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.