Katelyn Serrano

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT302664 Issued in CA

Practice address

18 Endeavor Ste 105
Irvine, CA 92618-3180

Phone

(949) 340-6927

NPI assigned

Aug 29, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Magnolia Physical Therapy IncGroup PAC ID 0840193561, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Magnolia Physical Therapy, Inc

  • Clinic/Center
  • Huntington Beach, CA
  • NPI 1982642336
  Medicare reassignment Care Compare group NPD
• PNP Associates

  • Neurology Physical Therapist
  • Irvine, CA
  • NPI 1952669301
  NPD (past)

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1093435455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9855 CORNWALL DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926464231",
            "telephone_number": "714-907-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ENDEAVOR STE 105",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183180",
            "telephone_number": "949-340-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT302664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kserrano@prnpt.com",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18 Endeavor Ste 105",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926183180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Serene Sleep Management, LLC
• Serenity Sleep & Neurodiagnostics, Inc
• Grace Love Sergeant
• Jamal Serhan
• Arlene Serna
• Katherine Serrano, PT, DPT
• Chad Serrao, PA
• Sesi Signature Inc.
• Papan Seth, DC
• Madiha Sethi

• Physical Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.