KRISTINE ANN SKINNER – Physical Therapist, NPI 1457430530

KRISTINE ANN SKINNER is a healthcare provider. based in Bergenfield, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 40QA0923300 (NJ). The NPI Number for KRISTINE ANN SKINNER is 1457430530

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINE ANN SKINNER
NPI
1457430530
Phone
(201) 384-2525
Address
47 S Washington Ave
Enumeration Date
2 November 2006
Last Update Date
6 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9148983090
Graduation Year
1999 (27 years ago)
PAC ID
0244336741
Group Practice PAC ID
5294870226
Professional Enrollment ID
I20181018002789
Address ID
NY106013531WH7XXXXBROA400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for KRISTINE ANN SKINNER

  • 47 S Washington Ave

    Bergenfield, NJ 076212324

    Phone: (201) 384-2525

    Fax: (201) 384-2625

    Type: Location

  • 704 EXECUTIVE BLVD STE H

    VALLEY COTTAGE, NY 109892023

    Phone: (845) 268-7800

    Type: Location

  • 900 ROUTE 9 N FL 4

    WOODBRIDGE, NJ 070951025

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181018002789IPhysical Therapist In Private PracticeNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,12892$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes77687$0
97140Therapy procedure using manual technique, each 15 minutes70682$0
97530Therapy procedure using functional activities44857$0
97161Evaluation for physical therapy, typically 20 minutes4847$0
View full utilization report →

Insurance plans in this area (ZIP 07621)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294870226View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
-NY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
-NY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

What is KRISTINE ANN SKINNER's NPI number?
KRISTINE ANN SKINNER's NPI is 1457430530 — the number used across U.S. healthcare to identify this provider.
Is there an active status for KRISTINE ANN SKINNER?
For scheduling context, KRISTINE ANN SKINNER is shown as active in the registry.
What clinical focus is listed for KRISTINE ANN SKINNER?
At a glance, KRISTINE ANN SKINNER is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is KRISTINE ANN SKINNER associated with Bergenfield?
Public fields place KRISTINE ANN SKINNER around Bergenfield, New Jersey. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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