Active NPI
Serena Liu
- Physical Therapist
- Novato, CA
National Provider Identifier
1225406358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 291884
- Practice address
- 88 Rowland Way
#250
Novato, CA 94945-5042 - Phone
- (415) 898-1311
- Fax
- (415) 897-0741
- NPI assigned
- Sep 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10620 | CT | |
| Physical Therapist | 225100000X | 3276 | NV | |
| Physical Therapist | 225100000X | 05011909A | IN | |
| Physical Therapist | 225100000X | 291884 | CA | Primary |
Addresses
Primary practice location
88 Rowland Way
#250
Novato, CA 94945-5042
Mailing address
292 Valverde Ave
Brea, CA 92821-5958
Phone (714) 718-4699
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10620 | CT | MD | Clinical Social Worker |
| 05011909A | IN | MD | Physical Therapist |
| 3276 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487030400000",
"number": "1225406358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 VALVERDE AVE",
"city": "BREA",
"state": "CA",
"postal_code": "928215958",
"telephone_number": "714-718-4699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 ROWLAND WAY",
"address_2": "#250",
"city": "NOVATO",
"state": "CA",
"postal_code": "949455042",
"telephone_number": "415-898-1311",
"fax_number": "415-897-0741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "SERENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-06",
"last_updated": "2017-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "10620",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3276",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05011909A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "291884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.