Organization Active NPI

Skillful Hand Therapy, LLC

  • Occupational Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1841166063
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SKILLFUL HAND THERAPY, LLC
Practice address
6844 Parma PL
Rancho Cucamonga, CA 91701-8568
Phone
(909) 569-3742
NPI assigned
Oct 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Porsche Alexandria Fowlkes, OT/L, CHT, HTC
Title
Chief Executive Officer
Phone
(909) 569-3742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

6844 Parma PL
Rancho Cucamonga, CA 91701-8568

Mailing address

6844 Parma PL
Rancho Cucamonga, CA 91701-8568
Phone (909) 569-3742

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260304000977 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8527540087 Receives reassigned benefits from 1 practitioner
Practice locations: Alta Loma, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1841166063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6844 PARMA PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917018568",
            "telephone_number": "909-569-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6844 PARMA PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917018568",
            "telephone_number": "909-569-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLFUL HAND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-14",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "FOWLKES",
        "authorized_official_first_name": "PORSCHE",
        "authorized_official_middle_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "909-569-3742",
        "authorized_official_credential": "OT/L, CHT, HTC"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.