Individual provider Active NPI

Catherine Joanne Seranko, DPT

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1215223060
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23354 Issued in MD
Practice address
6900 Georgia Ave NW
BLDG 2, RM 3J
Washington, DC 20307-0003
Phone
(202) 782-6371
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23354 MD Primary

Addresses

Primary practice location

6900 Georgia Ave NW
BLDG 2, RM 3J
Washington, DC 20307-0003

Mailing address

5960 9TH St RM 215
Fort Belvoir, VA 22060-5509
Phone (202) 302-7172

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
23354MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Annapolis Family Physical Therapy, Inc Physical Therapist CurrentSince Jul 1, 2013 Accepting new patients
Annapolis Family Physical Therapy, Inc Physical Therapist CurrentSince Sep 20, 2020 Accepting new patients

Locations

2006 Industrial Dr
Annapolis, MD 21401
Phone (410) 266-7174

2661 Riva Rd
Ste 601
Annapolis, MD 21401
Phone (410) 266-6626

2564 Riva Rd
Annapolis, MD 21401
Phone (410) 266-6626

Organizations & group practices 2

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1215223060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 9TH ST RM 215",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605509",
            "telephone_number": "202-302-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 GEORGIA AVE NW",
            "address_2": "BLDG 2, RM 3J",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203070003",
            "telephone_number": "202-782-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERANKO",
        "first_name": "CATHERINE",
        "middle_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.