| Doctor Name: | MR. JOHN SKELLY |
| NPI Number: | 1821036955 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 40QA00202900 |
| Business Practice Address: | 445 Godwin Ave Midland Park, NJ - 074321507 |
| Business Phone Number: | 2014444991 |
| Business Fax Number: | 2014442593 |
| Mailing Address: | 22 Depew Ave, Apt. 1 NYACK |
| State: | NY |
| Postal Code: | 109603891 |
| Phone Number: | 8454805963 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2006 |
| NPI Last Update Date: | 11/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA00202900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |