Provider Demographics
NPI:1679674642
Name:SKCAY ENTERPRISES INC.
Entity Type:Organization
Organization Name:SKCAY ENTERPRISES INC.
Other - Org Name:GATEWAY THERAPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & C.F.O.
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-675-7766
Mailing Address - Street 1:15725 POMERADO RD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2068
Mailing Address - Country:US
Mailing Address - Phone:858-675-7766
Mailing Address - Fax:858-675-0043
Practice Address - Street 1:15725 POMERADO RD
Practice Address - Street 2:SUITE 115
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2068
Practice Address - Country:US
Practice Address - Phone:858-675-7766
Practice Address - Fax:858-675-0043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW18129AMedicare ID - Type Unspecified