Alexander Serwatka, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36003768A Issued in IN

Practice address

59117 Minuteman Way
Elkhart, IN 46517-3409

Phone

(574) 875-6524

NPI assigned

Feb 26, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1396501656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57290 ORCHARD RIDGE DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465168936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59117 MINUTEMAN WAY",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465173409",
            "telephone_number": "574-875-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERWATKA",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36003768A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy B Seipel, LCSW
• Senior Outpatient Services
• Serenidad Counseling LLC
• Serenity Home Medical, LLC
• Servants Heart Home Health Care
• Marek Serwatka, PT
• Fabiola Sewell, CPHT
• Kaylie Elizabeth Sexton, FNP-C
• Louis C Sfreddo, MD
• Choudhury Shadmani, MD

• Athletic Trainer in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.