Avatar Barlis Severino, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT026426 Issued in PA

Practice address

600 Red Lion Rd Apt V9
Philadelphia, PA 19115-1226

Phone

(407) 634-9719

NPI assigned

Nov 29, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1487124780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RED LION RD APT V9",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151226",
            "telephone_number": "407-634-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RED LION RD APT V9",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151226",
            "telephone_number": "407-634-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERINO",
        "first_name": "AVATAR",
        "middle_name": "BARLIS",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1247159",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Josef-Benedict Setzer, D.O.
• Frank C Setzer, D.M.D, M.S.
• Adam Joseph Seufert, CRNA
• Lisa Seufert, M.D.
• Seventy Six Dental PC
• David J Sevitski, D.O.
• Alexander B Sevrukov, MD
• Bonifia Seward, CRNP
• Joseph Milo Sewards, MD
• Rani Sewatkar, MD.

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.