Healthcare Provider Details

I. General information

NPI: 1699470278
Provider Name (Legal Business Name): KARRIE ANN SKARDA OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 HOLLY HILL RD
OLDSMAR FL
34677-2079
US

IV. Provider business mailing address

315 HOLLY HILL RD
OLDSMAR FL
34677-2079
US

V. Phone/Fax

Practice location:
  • Phone: 720-201-3778
  • Fax:
Mailing address:
  • Phone: 720-201-3778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: