Active NPIIndividual provider

Jaclyn Skirkanich

Physical Therapist in Westbrook, Connecticut

NPI Number1548652829
Practice location
5 Pequot Park RD Ste 102, Westbrook, CT 06498-2856
Fax
860-399-6822
Last updated
February 8, 2023

Jaclyn Skirkanich is a Physical Therapist based in Westbrook, CT. Jaclyn Skirkanich practices in Westbrook, CT. The NPI Number for Jaclyn Skirkanich is 1548652829 and holds a License No. 14013881 (CT). The current practice location address for Jaclyn Skirkanich is 5 Pequot Park RD Ste 102, Westbrook, CT 06498-2856 and can be reached out via phone at 860-399-6411 and via fax at 860-399-6822.

Provider Profile Details

NPI Number
1548652829
Provider Name
Jaclyn Skirkanich
Provider Entity Type
Individual
Gender
Female
Address
5 Pequot Park RD Ste 102, Westbrook, CT 06498-2856
Phone Number
860-399-6411
Fax Number
860-399-6822
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
February 24, 2015
Last Update Date
February 8, 2023
Certification Date
February 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Pequot Park RD Ste 102
Westbrook, CT 06498-2856
Zip
06498-2856
Phone Number
860-399-6411
Fax Number
860-399-6822
Westbrook, CT 06498Get directions →

Provider Business Mailing Address Details

Address
47 N Main St
West Hartford, CT 06107-1926
City
West Hartford
State
CT
Zip
06107-1926
Phone Number
860-409-4595
Fax Number
860-409-4860

License Information

License Number (1)
14013881
License State (1)
CT
Taxonomy (1)
Physical Therapist · 225100000X · Primary
License Number (2)
630001528
License State (2)
CT
Taxonomy (2)
Physical Therapy Assistant · 225200000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jaclyn Skirkanich?

The NPI number of Jaclyn Skirkanich is 1548652829. It was assigned on February 24, 2015 and is currently active in the NPPES registry.

What is the specialty of Jaclyn Skirkanich?

Jaclyn Skirkanich is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 14013881.

Where does Jaclyn Skirkanich practice?

The practice location is 5 Pequot Park RD Ste 102, Westbrook, CT 06498-2856. The office can be reached at 860-399-6411 (phone) or 860-399-6822 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548652829 directly on the NPPES registry website.

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