Skillz Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SKILLZ PHYSICAL THERAPY LLC

Practice address

839 Dodge Ave
Evanston, IL 60202-1552

Phone

(847) 859-6240

NPI assigned

Jan 23, 2020

Organization subpart

No

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

Authorized official

Name

Aime Maranan, PTNPI 1073066122

Title

Physical Therapist

Phone

(407) 257-2572

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aime Maranan

  • Physical Therapist
  • Evanston, IL
  • NPI 1073066122
  Medicare reassignment Care Compare group NPD Authorized official
• Kythera Ceniza, PT

  • Physical Therapist
  • Evanston, IL
  • NPI 1588479323
  Medicare reassignment Care Compare group NPD
• Ty Stetler

  • Orthopedic Physical Therapist
  • Evanston, IL
  • NPI 1528791209
  NPD

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1801426366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 DODGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 DODGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021552",
            "telephone_number": "847-859-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLZ PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "MARANAN",
        "authorized_official_first_name": "AIME",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "407-257-2572",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aime@skillzpt.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "839 Dodge Ave",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602021552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zoya Sirota, LCPC
• Daniela Samantha Sirott
• Erica N. Sis, APN-CNP
• Sivan Schneider LLC
• Carrie Skalla
• Kevin Burns Skinner
• Kaitlin Skog, LCPC
• Dale Philip Skrzypchak, PT, DPT
• Skylight Counseling Center
• Skylight Healing Center

• Physical Therapist in Evanston, IL
• Providers in Evanston, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.