Arkadiusz Grzegorz Sereda, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

014997-1 Issued in NY

Practice address

5635 State Route 31
Verona, NY 13478-3705

Phone

(315) 363-9253

Fax

(315) 363-9348

NPI assigned

Jul 12, 2011

Last updated

Jul 12, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Arek Sereda Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1386932325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 BLACK RIVER BLVD N",
            "address_2": "APT.8",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134403629",
            "telephone_number": "315-339-9719",
            "fax_number": "315-339-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 STATE ROUTE 31",
            "city": "VERONA",
            "state": "NY",
            "postal_code": "134783705",
            "telephone_number": "315-363-9253",
            "fax_number": "315-363-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEREDA",
        "first_name": "ARKADIUSZ",
        "middle_name": "GRZEGORZ",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014997-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AREK",
            "last_name": "SEREDA",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Debbie J Oconnor, LCSW
• Linda Potts, LCSW
• Emily Rennie
• Rome Memorial Hospital, Inc
• Emily Rossi, OTR/L
• Cheryl Ann Sexton, PHYSICAL THERAPIST A
• Genevieve Nadine Sgarlata, LMT
• Courtney Sicilia
• Colleen Patricia Smith, SLP
• Anthony Thomas, PT, DPT

• Physical Therapist in Verona, NY
• Providers in Verona, 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 12, 2011; 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.