Dana Skoruppa, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0013634 Issued in CO

Practice address

1700 18TH Ave
Greeley, CO 80631-5134

Phone

(970) 353-3370

Fax

(970) 353-9347

NPI assigned

Jul 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1992180368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 18TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315134",
            "telephone_number": "970-353-3370",
            "fax_number": "970-353-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 18TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315134",
            "telephone_number": "970-353-3370",
            "fax_number": "970-353-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKORUPPA",
        "first_name": "DANA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0013634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darin Trey Sisneros, MD
• Terhas Alem Sium
• Sydney Skaggs
• Julianne Skinner, LPC
• James Skordas, AUD
• Amanda Nichole Skroch
• Nicholas Slaboden, DO
• Teresa Lee Slack V, MA
• Karie Slade, MA
• Kelly Slade

• Physical Therapy Assistant in Greeley, CO
• Providers in Greeley, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.