Active NPI
Gia Serafino, PT
- Physical Therapist
- Easthampton, MA
National Provider Identifier
1578673000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15652
- Practice address
- 116 Pleasant St
Suite 452
Easthampton, MA 01027-2752 - Phone
- (860) 874-4195
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 032692-1 | NY | |
| Physical Therapist | 225100000X | 15652 | MA | Primary |
| Physical Therapist | 225100000X | 006890 | CT |
Addresses
Primary practice location
116 Pleasant St
Suite 452
Easthampton, MA 01027-2752
Mailing address
116 Pleasant St
Suite 452
Easthampton, MA 01027-2752
Phone (860) 874-4194
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006890 | Other | CT | LICENSE # |
| 15652 | Other | MA | MA LICENSE NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006890 | CT | MD | General Practice Dentistry |
| 032692-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excella Healthcare, Inc. | Physical Therapist | 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 and National Provider Directory roles.
-
- Physical Therapist
- Andover, MA
- NPI 1033177720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355702400000",
"number": "1578673000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 PLEASANT ST",
"address_2": "SUITE 452",
"city": "EASTHAMPTON",
"state": "MA",
"postal_code": "010272752",
"telephone_number": "860-874-4194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 PLEASANT ST",
"address_2": "SUITE 452",
"city": "EASTHAMPTON",
"state": "MA",
"postal_code": "010272752",
"telephone_number": "860-874-4195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERAFINO",
"first_name": "GIA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2012-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032692-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "15652",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "006890",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "006890",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA LICENSE NUMBER",
"identifier": "15652",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Easthampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.