Individual provider Active NPI

Kimberly Sernett, OTR/L

  • Occupational Therapist
  • Lakewood, CO
National Provider Identifier
1275178584
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
120384 Issued in TX
Practice address
13949 W Colfax Ave Ste 150
Lakewood, CO 80401-3209
Phone
(720) 706-3396
NPI assigned
Nov 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 120384 TX Primary

Addresses

Primary practice location

13949 W Colfax Ave Ste 150
Lakewood, CO 80401-3209

Mailing address

13949 W Colfax Ave Ste 150
Lakewood, CO 80401-3209

Other practice location 1

3401 Quebec St Ste 3500
Denver, CO 80207-2339
Phone (720) 706-3396

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimsernett@soarautismcenter.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
120384TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Soar Medical Services PLLC Occupational Therapist Past Accepting new patients
Soar Health, Inc. Occupational Therapist Past Accepting new patients

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": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1275178584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13949 W COLFAX AVE STE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13949 W COLFAX AVE STE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013209",
            "telephone_number": "720-706-3396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Quebec St Ste 3500",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802072339",
            "country_code": "US",
            "telephone_number": "720-706-3396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERNETT",
        "first_name": "KIMBERLY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "120384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimsernett@soarautismcenter.com",
            "affiliation": "N",
            "address_1": "13949 W Colfax Ave Ste 150",
            "city": "Lakewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804013209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.