Craig J Serra, DPT, OCS, FAAOMPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501015106 Issued in MI

Practice address

145 E Cady St
Northville, MI 48167-1606

Phone

(248) 773-7540

Fax

(248) 907-1117

NPI assigned

Mar 11, 2010

Last updated

Aug 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proven Physical Therapy LLCGroup PAC ID 1456743418, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Proven Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Northville, MI
  • NPI 1053079509
  Medicare reassignment Care Compare group NPD Authorized official
• Northville Physical Rehabilitation, P.C.

  • Physical Therapist
  • Northville, MI
  • NPI 1982770673
  NPD

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1023331527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E CADY ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671606",
            "telephone_number": "248-773-7540",
            "fax_number": "248-907-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E CADY ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671606",
            "telephone_number": "248-773-7540",
            "fax_number": "248-907-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRA",
        "first_name": "CRAIG",
        "middle_name": "J",
        "credential": "DPT, OCS, FAAOMPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorie Scialdone
• Shannon T Seabolt, TLLP
• David Selak, PT, DPT, OCS
• Thomas Selter
• Senior Care Network
• Jennifer Severe, M.D.
• Jeanne M Seyfried, MD
• Dhairya Shah, RBT
• Misari Ushir Shah
• Natasha Shah

• Physical Therapist in Northville, MI
• Providers in Northville, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.

Verify at the official NPI Registry.