Active NPI
Hannah Ruth Skalecke, MPT
- Physical Therapist
- Waitsfield, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040-0003726
- 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, 2011
- 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 | 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VTPT, Inc. | Physical Therapist | Current | Accepting new patients |
| Poulin Performance, Inc. | Physical Therapist | Past | Accepting new patients |
| Grace L Walker Physical Therapy a Professional Corporation | Physical Therapist | Past | 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.
-
dba Poulin & Associates Physical Therapy
- Physical Therapist
- Waitsfield, VT
- NPI 1114188356
-
dba Poulin Performance and Rehabilitation Center
- Physical Therapist
- South Burlington, VT
- NPI 1174553283
-
- Physical Therapist
- Orange, CA
- NPI 1427147974
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.