MEDICARE: SKIP A BEET

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1184429292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SKIP A BEET

Provider Business Mailing Address
First Line	:	5927 ALMEDA RD UNIT 22310
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-8074
Country	:	US
Telephone Number	:	832-768-1821
Fax Number	:

Provider Business Practice Location Address
First Line	:	25140 KINGSLAND BLVD STE 203
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-8472
Country	:	US
Telephone Number	:	832-768-1821
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	ALISHA NIZAR MUKADAM
Credential	:	DPT
Telephone Number	:	832-768-1821

Provider Enumeration Date	:	02/14/2025
Last Update Date	:	03/18/2025

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Directions to “SKIP A BEET ” Practice Location

Language	Start Address	Practice Location

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