Individual provider Active NPI

Isabella Maria Serrano

  • Massage Therapist
  • Hillsboro, OR
National Provider Identifier
1083468987
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
27227 Issued in OR
Practice address
2167 NW 185TH Ave
Hillsboro, OR 97124-7074
Phone
(503) 386-5322
NPI assigned
Apr 16, 2024
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 27227 OR Primary

Addresses

Primary practice location

2167 NW 185TH Ave
Hillsboro, OR 97124-7074

Mailing address

2755 NE John Olsen Ave Apt F76
Hillsboro, OR 97124-7177
Phone (925) 413-3725

Other names 1

  • Fernando Alfredo Serrano Other name

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
27227ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1083468987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 NE JOHN OLSEN AVE APT F76",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247177",
            "telephone_number": "925-413-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2167 NW 185TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247074",
            "telephone_number": "503-386-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "ISABELLA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "27227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FERNANDO",
            "last_name": "SERRANO",
            "middle_name": "ALFREDO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.