Active NPI
Lourdes Serra, O.T.R./L
- Specialist
- West Palm Beach, FL
National Provider Identifier
1528167616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OT 2144
- Practice address
- 9091 N Military TRL
Suite 11
West Palm Beach, FL 33410-5959 - Phone
- (561) 625-6860
- NPI assigned
- Sep 22, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OT 2144 | FL | Primary |
Addresses
Primary practice location
9091 N Military TRL
Suite 11
West Palm Beach, FL 33410-5959
Mailing address
45 Pinehill TRL W
Tequesta, FL 33469-2158
Phone (561) 744-6226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909733 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 2144 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Young Body Rehabilitation, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- West Palm Beach, FL
- NPI 1164476545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1528167616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 PINEHILL TRL W",
"city": "TEQUESTA",
"state": "FL",
"postal_code": "334692158",
"telephone_number": "561-744-6226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9091 N MILITARY TRL",
"address_2": "SUITE 11",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334105959",
"telephone_number": "561-625-6860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRA",
"first_name": "LOURDES",
"name_prefix": "Mrs.",
"credential": "O.T.R./L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "OT 2144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909733",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.