Individual provider Active NPI

Clarice G Serrano, PT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1033242748
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1316292 Issued in TX
Practice address
4100 N Sam Houston Pkwy W Ste 240
Houston, TX 77086-1466
Phone
(832) 968-7155
NPI assigned
Mar 13, 2007
Last updated
Feb 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT23051 FL
Physical Therapist 225100000X 1316292 TX Primary

Addresses

Primary practice location

4100 N Sam Houston Pkwy W Ste 240
Houston, TX 77086-1466

Mailing address

4100 N Sam Houston Pkwy W Ste 240
Houston, TX 77086-1466

Other practice location 1

4340 Morsay Dr
Rockford, IL 61107-4877
Phone (815) 397-8132

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
PT23051FLMDPhysical Therapist
1316292TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TCG Home Health LLC Past Accepting new patients
Morsay Physical Medicine Center LTD. PastSince Oct 31, 2009 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1033242748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 N SAM HOUSTON PKWY W STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770861466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 N SAM HOUSTON PKWY W STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770861466",
            "telephone_number": "832-968-7155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4340 Morsay Dr",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611074877",
            "country_code": "US",
            "telephone_number": "815-397-8132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "CLARICE",
        "middle_name": "G",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23051",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1316292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.