Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Peter Gering Skupeko, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1023202561

Mr. Peter Gering Skupeko, PHYSICALTHERAPIST is a Physical Therapist in Roseville, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007

Practice location Address checks out

1325 Eldridge Ave W
Roseville, MN 55113-5917
Phone: (651) 639-1615
Fax: (651) 639-1615
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2548 (MN)

Record details

NPI number1023202561
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedAugust 28, 2007
Last updated in NPPESAugust 28, 2007

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