Denise Serotta Jackson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012831-1 Issued in NY

Practice address

Stephen W. Bassin, P.T., P.C.
32 Sherman Ave
Glen Falls, NY 12801

Phone

(518) 793-7136

Fax

(518) 793-7142

NPI assigned

Jul 7, 2005

Last updated

Jul 13, 2026By the provider in NPPES

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nova Rehab PT OT PLLCGroup PAC ID 5395244685, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Nova Rehab PT OT PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1801782750
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295732071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STEPHEN W. BASSIN, P.T., P.C.",
            "address_2": "32 SHERMAN AVE",
            "city": "GLEN FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-793-7136",
            "fax_number": "518-793-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STEPHEN W. BASSIN, P.T., P.C.",
            "address_2": "32 SHERMAN AVE",
            "city": "GLEN FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-793-7136",
            "fax_number": "518-793-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DENISE",
        "middle_name": "SEROTTA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012831-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Wayne Bassin, P.T.
• Dean Clickner
• Leslie Collura
• Bridget Giernacky
• Crystal Elizabeth Hoban, LMFT
• Macnaughton Chiropractic, PLLC (Back in Balance Health and Wellness Center)

• Physical Therapist in Glen Falls, NY
• Providers in Glen Falls, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.