Organization Active NPI

Serenity Pas LLC

  • Rehabilitation Clinic/Center
  • McKinney, TX
National Provider Identifier
1093589616
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
SERENITY PAS LLC
Practice address
2413 Windmill Dr
McKinney, TX 75071-0823
Phone
(469) 577-9595
NPI assigned
Nov 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Tolu Kent, OTNPI 1336506211
Title
Ceo
Phone
(469) 577-9595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

2413 Windmill Dr
McKinney, TX 75071-0823

Mailing address

5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (469) 577-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240220002209 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7810331667 Receives reassigned benefits from 6 practitioners
Practice locations: Hawkins, TX

National Provider Directory

National Provider Directory

Locations

2437 S FM 2869
Hawkins, TX 75765
Phone (972) 994-6125

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1093589616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "469-577-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 WINDMILL DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750710823",
            "telephone_number": "469-577-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "TOLU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-577-9595",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.