Healthcare Provider Details

I. General information

NPI: 1114229853
Provider Name (Legal Business Name): ALYSSA M SKOLFIELD DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALYSSA M CONICELLI DPT

II. Dates (important events)

Enumeration Date: 12/01/2010
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 FOULK RD STE 2A
WILMINGTON DE
19803-3733
US

IV. Provider business mailing address

927 LOVERING AVE
WILMINGTON DE
19806-3224
US

V. Phone/Fax

Practice location:
  • Phone: 877-407-3422
  • Fax: 877-407-4329
Mailing address:
  • Phone: 856-341-6749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberJ1-0002658
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: