Individual provider Active NPI

David Seramur, DPT

  • Physical Therapist
  • Kenai, AK
National Provider Identifier
1437566635
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
139685 Issued in AK
Practice address
508 Upland St
Kenai, AK 99611-8026
Phone
(907) 335-7500
NPI assigned
Jul 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 139685 AK Primary

Addresses

Primary practice location

508 Upland St
Kenai, AK 99611-8026

Mailing address

635 Sandpiper LN
Kenai, AK 99611-8507
Phone (248) 505-7564

Other practice location 1

1637 E Broomfield St Apt 1F
Mount Pleasant, MI 48858-5422
Phone (248) 505-7564

Other practice location 2

35249 Kenai Spur Hwy Ste C
Soldotna, AK 99669-7623
Phone (907) 420-0836

Other identifiers 1

IdentifierTypeStateIssuer
1700353MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191108001511 AK Practitioner - Physical Therapist in Private Practice 4082046297 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenaitze Indian TribeGroup PAC ID 4082506225, 29 clinicians

Practice addresses (Care Compare)

508 Upland St
Kenai, AK 99611-8026
Phone (907) 335-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
139685AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenaitze Indian Tribe CurrentSince Nov 1, 2024 Accepting new patients
Kenaitze Indian Tribe CurrentSince Nov 1, 2024 Accepting new patients
Kenaitze Indian Tribe Current Accepting new patients
Kenai Peninsula Home Health LLC Current Accepting new patients
Borealis Chiropractic Inc CurrentSince Dec 22, 2020 Accepting new patients
Advanced Physical Therapy Inc Physical Therapist CurrentSince Oct 18, 2019 Accepting new patients
Revolution Sport & Spine Therapy LLC Physical Therapist CurrentSince Dec 1, 2019 Accepting new patients

Locations

1917 Abbott Rd
Ste 200
Anchorage, AK 99507
Phone (907) 279-4266

508 Upland St
Kenai, AK 99611
Phone (907) 335-7300

44604 Sterling Hwy
Ste A
Soldotna, AK 99669
Phone (907) 420-0640

35249 Kenai Spur Hwy
Ste C
Soldotna, AK 99669
Phone (907) 420-0836

Organizations & group practices 7

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": "1405814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1437566635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 SANDPIPER LN",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118507",
            "telephone_number": "248-505-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 UPLAND ST",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118026",
            "telephone_number": "907-335-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1637 E Broomfield St Apt 1F",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "MI",
            "postal_code": "488585422",
            "country_code": "US",
            "telephone_number": "248-505-7564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35249 Kenai Spur Hwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996697623",
            "country_code": "US",
            "telephone_number": "907-420-0836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERAMUR",
        "first_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-20",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "139685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700353",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenai, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.