Serena Burrell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2115259 Issued in TX

Practice address

1940 Bedford Rd
Bedford, TX 76021-5707

Phone

(580) 816-0168

NPI assigned

Jan 23, 2020

Last updated

Jan 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1053941559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 BEDFORD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215707",
            "telephone_number": "580-816-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 BEDFORD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215707",
            "telephone_number": "580-816-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "SERENA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2115259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2115259",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sburrell@barkmanandsmith.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1940 Bedford Rd",
            "city": "Bedford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760215707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thuy Bui
• Diane Bulger-Tsapos
• Scott Bulger, PT
• Robert Dave Enriquez Buot, MSN, APRN, FNP-C
• Frankie Lynn Burget, OTR,LMT/MI CNDT
• Amanda Burris, FNP-C
• Martha Bush, MD
• Amna Naveed Butt, MD
• By the Grace Home Health Care
• A. Barbara Byers, PH.D., L.P.C.

• Physical Therapy Assistant in Bedford, TX
• Providers in Bedford, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.