Serena Cheung Bruckman, PT, DPT, NCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT298314 Issued in CA

Practice address

425 Portage Ave Ste a
Palo Alto, CA 94306-2213

Phone

(650) 935-4711

NPI assigned

Sep 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Institute of Physical Therapy and Pelvic Health Inc

  • Physical Therapy Clinic/Center
  • Palo Alto, CA
  • NPI 1609477439
  Medicare reassignment Authorized official
• Brooklyn Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
  • NPI 1528300480

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1477862175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PORTAGE AVE STE A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943062213",
            "telephone_number": "650-935-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PORTAGE AVE STE A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943062213",
            "telephone_number": "650-935-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKMAN",
        "first_name": "SERENA",
        "middle_name": "CHEUNG",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, NCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT20815",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038793-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11870",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT298314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://provider.kareo.com/serena-bruckman",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant direct messaging through Kareo platform",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "message via Kareo EMR software",
            "address_1": "425 Portage Ave Ste A",
            "city": "Palo Alto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "943062213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jaclyn E Brownlee-Cervantes, RD
• Brenda Brownlow, PHD
• William Brubaker, MD
• Amy M Bruce, PA-C
• Karl Craig Bruckman, MD, DDS
• Ginger Brudos, PHD
• Dirk Bruins, BSN
• Jennifer Bruno
• Dalton Christopher Brunson
• Jessica Elizabeth Bruynell, MD

• Physical Therapist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.