Alyssa Victoria Villanueva Serrano, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

26768 Issued in CA

Practice address

9900 Indiana Ave Ste 8
Riverside, CA 92503-5498

Phone

(951) 376-1120

NPI assigned

Feb 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Fairbanks & Power Physical Therapy Corp.

  dba PacificPro Physical Therapy & Sports Medicine

  • Physical Therapist
  • Irvine, CA
  • NPI 1912953936
  NPD

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1265025241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E RINCON ST STE 219",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 INDIANA AVE STE 8",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035498",
            "telephone_number": "951-376-1120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 E Rincon St Ste 219",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928791387",
            "country_code": "US",
            "telephone_number": "951-817-5328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "ALYSSA VICTORIA",
        "middle_name": "VILLANUEVA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "26768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Serna
• Viviana Serna
• Melody Angeli Serpas, RBT
• Alexander Serrano
• Alycia Serrano
• Deana Larew Serrano, PT
• Jesse Serrano
• Leonard Serrano Jr.
• Steven D Serrano
• Teresa Serrano

• Occupational Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.