Active NPI
Ronna Serota
- Contractor
- Allentown, PA
National Provider Identifier
1578698254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- PT-006121-L
- Practice address
- 1501 Lehigh St
Suite 201
Allentown, PA 18103-3880 - Phone
- (610) 289-0114
- Fax
- (610) 289-4282
- NPI assigned
- Feb 22, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | PT-006121-L | PA | Primary |
| Physical Therapist | 225100000X | |||
| Pediatric Physical Therapist | 2251P0200X |
Addresses
Primary practice location
1501 Lehigh St
Suite 201
Allentown, PA 18103-3880
Mailing address
1501 Lehigh St
Suite 201
Allentown, PA 18103-3880
Phone (610) 289-0114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01782466 | Medicaid | PA |
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 |
|---|---|---|---|
| PT-006121-L | PA | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easter Seals Eastern Pennsylva | 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
- Reading, PA
- NPI 1518493238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1578698254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 LEHIGH ST",
"address_2": "SUITE 201",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181033880",
"telephone_number": "610-289-0114",
"fax_number": "610-289-4282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 LEHIGH ST",
"address_2": "SUITE 201",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181033880",
"telephone_number": "610-289-0114",
"fax_number": "610-289-4282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEROTA",
"first_name": "RONNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "PA",
"license": "PT-006121-L",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01782466",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.