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

Shannon Victoria Skowbo

Individual provider Hand Occupational Therapist · NPI 1578135158

Shannon Victoria Skowbo is an Occupational Therapist in Private Practice in Hayward, California. Qualified in 2024, 2 years ago. Practices with Select Cal Physical Therapy PC, a 161-clinician group. Licensed in Arizona and California.

Years since qualifying
2
Licensed in
AZ, CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

22533 Foothill Blvd
Hayward, CA 94541-4109
Phone: (510) 732-7881
Show map & directions

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

Specialties & licences

Hand Occupational Therapist (primary) Taxonomy 225XH1200X · Licence 27993 (CA)
Hand Occupational Therapist Taxonomy 225XH1200X · Licence OTH-009689 (AZ)

Record details

NPI number1578135158
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 14, 2021
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Select Cal Physical Therapy Pc — 161 clinicians
Accepts Medicare assignment Not indicated