Active NPI
Jill Skidmore-Erickson, PT
- Physical Therapist
- Soldotna, AK
National Provider Identifier
1952419798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 229
- Practice address
- 36275 Kenai Spur Hwy., Ste 5
Soldotna, AK 99669 - Phone
- (907) 260-2679
- Fax
- (907) 260-2676
- NPI assigned
- Aug 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 229 | AK | Primary |
Addresses
Primary practice location
36275 Kenai Spur Hwy., Ste 5
Soldotna, AK 99669
Mailing address
PO Box 1127
Soldotna, AK 99669-1127
Phone (907) 262-2980
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229 | AK | MD | Marriage & Family Therapist |
| 299 | AK | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952419798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1127",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996691127",
"telephone_number": "907-262-2980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36275 KENAI SPUR HWY., STE 5",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "99669",
"telephone_number": "907-260-2679",
"fax_number": "907-260-2676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKIDMORE-ERICKSON",
"first_name": "JILL",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Soldotna, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.