Individual provider Active NPI

Serena Montano, DPT

  • Physical Therapist
  • Mission Viejo, CA
National Provider Identifier
1215774757
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306263 Issued in CA
Practice address
26932 Oso Pkwy Ste 260
Mission Viejo, CA 92691-5810
Phone
(949) 582-0132
NPI assigned
Jul 11, 2024
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 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 306263 CA Primary

Addresses

Primary practice location

26932 Oso Pkwy Ste 260
Mission Viejo, CA 92691-5810

Mailing address

29752 Melinda Rd Apt 2137
Rancho Santa Margarita, CA 92688-3479
Phone (310) 994-3726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930002993 CA Practitioner - Physical Medicine and Rehabilitation 1456882521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

26672 Portola Pkwy
Suite 116
Foothill Ranch, CA 92610-1773
Phone (714) 450-4999

26932 Oso Pkwy
Suite 260
Mission Viejo, CA 92691-5810
Phone (949) 582-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306263CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prosport Physical Therapy Professionals Inc Physical Therapist Current Accepting new patients
Prosport Physical Therapy Professionals Inc Single Specialty CurrentSince Aug 15, 2024 Accepting new patients
Prosport Physical Therapy Professionals Inc Single Specialty CurrentSince Aug 15, 2024 Accepting new patients

Locations

26672 Portola Pkwy
Ste 116
Foothill Rnch, CA 92610
Phone (714) 450-4999

26932 Oso Pkwy
Ste 260
Mission Viejo, CA 92691
Phone (949) 582-0132

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1215774757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29752 MELINDA RD APT 2137",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883479",
            "telephone_number": "310-994-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26932 OSO PKWY STE 260",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915810",
            "telephone_number": "949-582-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANO",
        "first_name": "SERENA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.