Individual provider Active NPI

Serena Roopnarine

  • Physical Therapist
  • Islandia, NY
National Provider Identifier
1003790155
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
054426 Issued in OH
Practice address
1757 Veterans Memorial Hwy Ste 24
Islandia, NY 11749-1535
Phone
(631) 348-0959
NPI assigned
Aug 2, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 054426 OH Primary

Addresses

Primary practice location

1757 Veterans Memorial Hwy Ste 24
Islandia, NY 11749-1535

Mailing address

225 Wildwood Rd
Ronkonkoma, NY 11779-4848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
054426OHMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1003790155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WILDWOOD RD",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 VETERANS MEMORIAL HWY STE 24",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491535",
            "telephone_number": "631-348-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOPNARINE",
        "first_name": "SERENA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-08-02",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "054426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islandia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.