Individual provider Active NPI

Mitchell Gregory Skinner

  • Physical Therapist
  • La Canada Flintridge, CA
National Provider Identifier
1770081812
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
308739 Issued in CA
Practice address
440 Foothill Blvd
La Canada Flintridge, CA 91011-3503
Phone
(818) 369-7620
Fax
(818) 369-7621
NPI assigned
Jan 23, 2018
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 308739 CA Primary
Athletic Trainer 2255A2300X

Addresses

Primary practice location

440 Foothill Blvd
La Canada Flintridge, CA 91011-3503

Mailing address

5017 La Crescenta Ave
La Crescenta, CA 91214-2116

Other practice location 1

5017 La Crescenta Ave
LA Crescenta, CA 91214-2116
Phone (818) 437-0745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251023000525 CA Practitioner - Physical Therapist in Private Practice 2961990718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aaron McGuinness Physical Therapist IncGroup PAC ID 6507172145, 25 clinicians

Practice addresses (Care Compare)

440 Foothill Blvd
La Canada, CA 91011-3503
Phone (818) 369-7620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
308739CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron McGuinness Physical Therapist Inc Single Specialty CurrentSince Sep 22, 2025 Accepting new patients

Locations

440 Foothill Blvd
La Canada Flintridge, CA 91011
Phone (818) 369-7620

4515 Ocean View Blvd
Ste 350
La Canada Flt, CA 91011
Phone (818) 369-7620

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1770081812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 LA CRESCENTA AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 FOOTHILL BLVD",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910113503",
            "telephone_number": "818-369-7620",
            "fax_number": "818-369-7621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5017 La Crescenta Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crescenta",
            "state": "CA",
            "postal_code": "912142116",
            "country_code": "US",
            "telephone_number": "818-437-0745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "MITCHELL",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-23",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308739",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada Flintridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.