Active NPI
Serena Borys
- Pediatric Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1083369748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTH-008591
- Practice address
- 10251 N 35TH Ave
Phoenix, AZ 85051-1305 - Phone
- (602) 995-7366
- NPI assigned
- Feb 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTH-008591 | AZ | Primary |
| Occupational Therapist | 225X00000X | AZ |
Addresses
Primary practice location
10251 N 35TH Ave
Phoenix, AZ 85051-1305
Mailing address
15508 W Bell Rd Ste 101-261
Surprise, AZ 85374-2432
Other practice location 1
13601 N Litchfield Rd Ste 124
Surprise, AZ 85379-4260
Phone (623) 322-8250
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTH-008591 | AZ | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T.E.a.M. 4 Kids, LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1083369748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15508 W BELL RD STE 101-261",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10251 N 35TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850511305",
"telephone_number": "602-995-7366"
}
],
"practiceLocations": [
{
"address_1": "13601 N Litchfield Rd Ste 124",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853794260",
"country_code": "US",
"telephone_number": "623-322-8250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORYS",
"first_name": "SERENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-21",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AZ",
"license": "OTH-008591",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.