Individual provider Active NPI

Hannah Ruth Skalecke, MPT

  • Physical Therapist
  • Waitsfield, VT
National Provider Identifier
1962617894
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040-0003726 Issued in VT
Practice address
271 Moulton Rd
Waitsfield, VT 05673-7070
Phone
(802) 496-6344
Fax
(802) 496-6315
NPI assigned
May 14, 2007
Last updated
Jan 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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 040-0003726 VT Primary

Addresses

Primary practice location

271 Moulton Rd
Waitsfield, VT 05673-7070

Mailing address

PO Box 206
Waitsfield, VT 05673-0206
Phone (802) 496-6344

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080908000062 VT Practitioner - Physical Therapist in Private Practice 1759341340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VTPT, Inc.Group PAC ID 9436219664, 5 clinicians

Practice addresses (Care Compare)

271 Moulton Rd
Waitsfield, VT 05673-7070
Phone (802) 496-6344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
VTPT, Inc. Physical Therapist CurrentSince Oct 1, 2008 Accepting new patients
Poulin Performance, Inc. Physical Therapist PastSince Nov 20, 1996 Accepting new patients
Grace L Walker Physical Therapy a Professional Corporation Physical Therapist PastSince Jan 1, 2008 Accepting new patients

Locations

271 Moulton Rd
Waitsfield, VT 05673
Phone (802) 496-4292

Organizations & group practices 3

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1962617894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "WAITSFIELD",
            "state": "VT",
            "postal_code": "056730206",
            "telephone_number": "802-496-6344",
            "fax_number": "802-496-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 MOULTON RD",
            "city": "WAITSFIELD",
            "state": "VT",
            "postal_code": "056737070",
            "telephone_number": "802-496-6344",
            "fax_number": "802-496-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKALECKE",
        "first_name": "HANNAH",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040-0003726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waitsfield, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.