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NPI Code Detail

MEDICARE: DR. DANIEL SKULAVIK

MEDICARE: DR. DANIEL SKULAVIK
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
1225100000XPhysical Therapist10731NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Q59833H984OTHERNCMEDICARE

General Provider Information

NPI Number : 1518041755
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL SKULAVIK
Provider Business Mailing Address
First Line : 3409 OGLE DR
Second Line :
City : CARY
State : NC
Zip : 27518-6410
Country : US
Telephone Number : 516-220-5410
Fax Number :
Provider Business Practice Location Address
First Line : 112 WALMART SUPERCENTER
Second Line :
City : SILER CITY
State : NC
Zip : 27344-6756
Country : US
Telephone Number : 919-799-2226
Fax Number : 919-799-2216
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 02/18/2026

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Directions to “ DR. DANIEL SKULAVIK ” Practice Location

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