Stephanie Nicole Serafin, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27933 Issued in FL

Practice address

956 International Pkwy Ste 1580
Lake Mary, FL 32746-5219

Phone

(407) 936-0314

Fax

(407) 936-0316

NPI assigned

Nov 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Envision Physical Therapy, IncGroup PAC ID 8921260704, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Envision Physical Therapy, Inc

  • Clinic/Center
  • Lake Mary, FL
  • NPI 1437301025

  FL, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1295089498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 INTERNATIONAL PARKWAY SUITE 1580",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "32746",
            "telephone_number": "321-695-7101",
            "fax_number": "407-936-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 INTERNATIONAL PKWY STE 1580",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465219",
            "telephone_number": "407-936-0314",
            "fax_number": "407-936-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAFIN",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-09",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seminole Behavior Health
• Seminole Community Mental Health
• Senior Home Care, Inc.
• Senior Living Lake Mary LLC
• Vanessa Sepulveda, OTR
• Serenity Outcomes LLC
• Nidhi Sethi
• Meseret Seyoum
• Erin Nicole Shaffer
• Lane Shaffer

• All providers in Lake Mary, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.