Active NPI
Kayla J Serowik, DPT
- Physical Therapist
- Somerville, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26676
- Practice address
- 14 McGrath Hwy Unit 5
Somerville, MA 02143-4505 - Phone
- (617) 284-9418
- Fax
- (617) 702-9500
- NPI assigned
- Feb 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26676 | MA | Primary |
Addresses
Primary practice location
14 McGrath Hwy Unit 5
Somerville, MA 02143-4505
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26676 | Other | MA | LICENSE NUMBER FROM PCSHQ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Tufts University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1601 Kettner Blvd
Unit 11
San Diego, CA 92101-2539
Phone (619) 544-1055
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.19 of 100
- Quality
- 86.04
- Improvement activities
- 40
- Cost
- 76.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26676 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Effect PC | Physical Therapist | Current | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Carl Gustafson LLC | Physical Therapist | Past | Accepting new patients |
| Adams Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418
101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703
14 McGrath Hwy
Unit 5
Somerville, MA 02143
Phone (617) 284-9418
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- San Diego, CA
- NPI 1659703502
-
- Physical Therapist
- West Springfield, MA
- NPI 1710919063
-
- Durable Medical Equipment & Medical Supplies
- Wilbraham, MA
- NPI 1376140566
Physical Therapist
-
- Physical Therapist
- Wellesley, MA
- NPI 1356366082
-
- Physical Therapist
- San Diego, CA
- NPI 1114970050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1003514431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206",
"fax_number": "517-435-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 MCGRATH HWY UNIT 5",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021434505",
"telephone_number": "617-284-9418",
"fax_number": "617-702-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEROWIK",
"first_name": "KAYLA",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-15",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "26676",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER FROM PCSHQ",
"identifier": "26676",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.