Provider Demographics
NPI:1902699465
Name:ROOTE, SKYLER (OTR/L)
Entity type:Individual
Prefix:
First Name:SKYLER
Middle Name:
Last Name:ROOTE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 BARDWELL RD
Mailing Address - Street 2:
Mailing Address - City:FACTORYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18419-2208
Mailing Address - Country:US
Mailing Address - Phone:570-591-0640
Mailing Address - Fax:
Practice Address - Street 1:1086 PA-315
Practice Address - Street 2:
Practice Address - City:WILKES-BARRE
Practice Address - State:PA
Practice Address - Zip Code:18419
Practice Address - Country:US
Practice Address - Phone:570-823-7761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC020268225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist