Serra Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT01462 Issued in RI

Legal business name

SERRA PHYSICAL THERAPY, LLC

Practice address

60 Bay Spring Ave
A2
Barrington, RI 02806-1384

Phone

(401) 289-2553

NPI assigned

Mar 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Marie Serra, PT, DPT, MTC, CSCSNPI 1790858199

Title

Physical Therapist/Owner/Member

Phone

(401) 289-2553

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly M Serra, PT, DPT, MTC, CSCS

  • Physical Therapist
  • Barrington, RI
  • NPI 1790858199
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1093057770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BAY SPRING AVE",
            "address_2": "A2",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028061384",
            "telephone_number": "401-289-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BAY SPRING AVE",
            "address_2": "A2",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028061384",
            "telephone_number": "401-289-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERRA PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "SERRA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER/MEMBER",
        "authorized_official_telephone_number": "401-289-2553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, MTC, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "RI",
            "license": "PT01462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sargis Safaryan
• Savannah Santos, CTRS
• Kathryn Saylor, RNP
• Seaside Family Chiropractic, LLC
• Helmut Michael Sefranek, DMD, MAGD
• Kimberly M Serra, PT, DPT, MTC, CSCS
• Lisa M Sestito
• Alisha Lachmi Shankar, RN
• Mark Shannon, M.D.
• Kaela Sherman, CCC-SLP

• Physical Therapy Clinic/Center in Barrington, RI
• Providers in Barrington, RI by specialty
• Physical Therapy Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.