Michael Joseph Serra, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 15217 Issued in CA

Practice address

5910 Pacific Ave
Stockton, CA 95207

Phone

(209) 475-1000

Fax

(209) 475-1809

NPI assigned

Dec 14, 2005

Sex

Male

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Sports Physical Therapy Centers IncGroup PAC ID 7618956889, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• California Sports Physical Therapy Centers, Inc.

  • Physical Therapist
  • Monterey, CA
  • NPI 1467436329
  Medicare reassignment Care Compare group NPD
• California Sports Physical Therapy Centers Inc

  • Physical Therapist
  • Albany, CA
  • NPI 1891472965
  NPD
• California Sports Physical Therapy Centers, Inc.

  • Multi-Specialty Clinic/Center
  • Stockton, CA
  • NPI 1235111741

  Physical Therapist

  NPD

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1477538130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GARDEN RD",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405313",
            "telephone_number": "831-375-1885",
            "fax_number": "831-375-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 PACIFIC AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95207",
            "telephone_number": "209-475-1000",
            "fax_number": "209-475-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRA",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 15217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia A Serna
• Celestine Leeann Serna, LCSW
• Sonya Chavez Serna, LMFT
• Veronica Alicia Serna
• Darlene Angelie Seroyla
• Jacque L Serrano
• Jessica Nicole Serrano I
• Kayla Marie Serrano
• Monica Josephine Serrano
• Luisa Lizbeth Serrato

• Physical Therapist in Stockton, CA
• Providers in Stockton, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.