Individual provider Active NPI

Nathan Skopas, PT

  • Physical Therapist
  • Colchester, CT
National Provider Identifier
1922968619
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15217 Issued in CT
Practice address
171 Norwich Ave
Colchester, CT 06415-1274
Phone
(860) 537-3014
Fax
(860) 537-1420
NPI assigned
Nov 14, 2025
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15217 CT Primary

Addresses

Primary practice location

171 Norwich Ave
Colchester, CT 06415-1274

Mailing address

171 Norwich Ave
Colchester, CT 06415-1274
Phone (860) 537-3014

Other practice location 1

21C Liberty Dr
Hebron, CT 06248-1589
Phone (860) 228-4883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15217CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Physical Therapy & Sports Medicine, Inc Physical Therapist PastSince Nov 18, 2025 Accepting new patients

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": "1763078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1922968619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 NORWICH AVE",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151274",
            "telephone_number": "860-537-3014",
            "fax_number": "860-537-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 NORWICH AVE",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151274",
            "telephone_number": "860-537-3014",
            "fax_number": "860-537-1420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21C Liberty Dr",
            "address_purpose": "LOCATION",
            "city": "Hebron",
            "state": "CT",
            "postal_code": "062481589",
            "country_code": "US",
            "telephone_number": "860-228-4883",
            "fax_number": "860-228-0612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKOPAS",
        "first_name": "NATHAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "15217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.