Individual provider Active NPI

Trudy Michelle Skinner, P.T.

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1962693994
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7103 Issued in CO
Practice address
155 Printers Pkwy
Suite 150
Colorado Springs, CO 80910-6100
Phone
(719) 577-4104
Fax
(719) 575-0872
NPI assigned
Aug 6, 2007
Last updated
Aug 6, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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 7103 CO Primary

Addresses

Primary practice location

155 Printers Pkwy
Suite 150
Colorado Springs, CO 80910-6100

Mailing address

155 Printers Pkwy
Suite 150
Colorado Springs, CO 80910-6100
Phone (719) 577-4104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140607000084 CO Practitioner - Physical Therapist in Private Practice 0941290084

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5825 Delmonico Dr
Suite 300
Colorado Springs, CO 80919-2244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7103COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Physical Therapy, PC Physical Therapist CurrentSince Oct 12, 2025 Accepting new patients
Village Physical Therapy, P.C. Physical Therapist CurrentSince Jun 15, 2014 Accepting new patients
Village Physical Therapy, PC Physical Therapist CurrentSince Jun 15, 2014 Accepting new patients
Key Rehabilitation, Inc Past Accepting new patients

Locations

5825 Delmonico Dr
Ste 300
Colorado Springs, CO 80919
Phone (720) 360-4519

1209 Paseo del Norte
Ste 3
Pueblo, CO 81008
Phone (719) 569-5691

4035A Club Manor Dr
#4
Pueblo, CO 81008
Phone (719) 562-0328

Organizations & group practices 4

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1962693994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 PRINTERS PKWY",
            "address_2": "SUITE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809106100",
            "telephone_number": "719-577-4104",
            "fax_number": "719-575-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 PRINTERS PKWY",
            "address_2": "SUITE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809106100",
            "telephone_number": "719-577-4104",
            "fax_number": "719-575-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "TRUDY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.