DR. SKYLAR MCMATH (NPI# 1497314090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497314090 |
Entity Type | Individual |
Full Name | DR. SKYLAR MCMATH |
Credential | PT, DPT |
Practice Address |
1609 N Prince St Clovis NM 88101-4850 |
Practice Telephone | 5759350360 |
Enumeration Date | 2019-06-07 |
Last Update Date | 2019-06-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | TEMPORARY | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
TEMPORARY | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1609 N PRINCE ST |
City | CLOVIS |
State | NM |
Zip Code | 88101-4850 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992049894 | Logan Arden Kanode | Physical Therapist | 1609 N Prince St, Clovis, NM 88101-4850 | 2012-11-15 |
1487268249 | Poonam Vasant Mankar | Physical Therapist | 1609 N Prince St, Clovis, NM 88101-4850 | 2020-08-31 |
1255848057 | Physical Therapy Care, LLC | Physical Therapist | 1609 N Prince St, Clovis, NM 88101-4850 | 2018-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
Find all providers in zip 88101 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861978512 | Evolve Physical Therapy and Performance, Inc | Physical Therapist | 340 Clovis Ave, Clovis, CA 93612-1116 | 2018-07-16 |
1518044163 | Heather A. Porter | Physical Therapist | 1945 N Greenfield Ave, Clovis, CA 93619-7420 | 2006-11-01 |
1932533171 | Jeffery Morgan Wilson | Physical Therapist | 2217 Dillon Rd, Clovis, NM 88101-9454 | 2013-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922649359 | Darrel Thompson | Physical Therapist | 2211 Main St, Ne, Los Lunas, NM 87031 | 2019-10-07 |
1033686316 | Clark Bearsmith | Physical Therapist | 7849 Tramway Blvd Ne, Albuquerque, NM 87122-2515 | 2018-10-25 |
1407376460 | Marisa Raquel Esquivel | Physical Therapist | 9201 Montgomery Blvd Ne Ste 302, Albuquerque, NM 87111-2467 | 2017-06-21 |
1407394091 | Rachel Hotze | Physical Therapist | 333 W Cordova Rd Ste 100, Santa Fe, NM 87505-1852 | 2017-02-03 |
1285001297 | Therapy 2 Work | Physical Therapist | 2538 Camino Entrada Ste 301, Santa Fe, NM 87507-4927 | 2015-08-25 |
1871909069 | George Thomas | Physical Therapist | 2445 Missouri Ave Ste A, Las Cruces, NM 88001-5111 | 2014-07-08 |
1730511130 | Krista Leigh Riebli | Physical Therapist | 6700 Jefferson St Ne Bldg E, Albuquerque, NM 87109-4393 | 2013-08-07 |
1861730533 | Esther Coker | Physical Therapist | 326 Mckenzie St, Santa Fe, NM 87501-1883 | 2013-01-30 |
1659689347 | Taos Sports Medicine Serices LLC | Physical Therapist | 12 Crestview Drive, Ste 1s, Angel Fire, NM 87710-0489 | 2010-09-16 |
1942324900 | Marian Clair Bradbury | Physical Therapist | 706-d La Joya, Espanola, NM 87532-2877 | 2007-03-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.