Individual provider Active NPI

Elizabeth M Serflek, DPT

  • Physical Therapist
  • Wauwatosa, WI
National Provider Identifier
1629160387
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11926-24 Issued in WI
Practice address
2536 N 86TH St
Wauwatosa, WI 53226-1922
Phone
(414) 364-3272
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60363536 WA
Physical Therapist 225100000X 11926-24 WI Primary

Addresses

Primary practice location

2536 N 86TH St
Wauwatosa, WI 53226-1922

Mailing address

2536 N 86TH St
Wauwatosa, WI 53226-1922

Other practice location 1

9976 SE Washington St
Portland, OR 97216-2422
Phone (503) 465-7640

Other practice location 2

19031 33rd Ave W Ste 102
Lynnwood, WA 98036-4724
Phone (425) 741-0056

Other practice location 3

190 W Dayton St Ste 202
Edmonds, WA 98020-7221
Phone (425) 582-8118

Other practice location 4

15808 Mill Creek Blvd Ste 120
Mill Creek, WA 98012-1500
Phone (425) 225-6867

Other identifiers 1

IdentifierTypeStateIssuer
2160507MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151008002248 WI Practitioner - Physical Therapist in Private Practice 1557379807 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60363536WAMDPhysical Therapist
11926WIMDPhysical Therapist
11926-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Therapy Services LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Athletic &Therapeutic Institute of Naperville, LLC Physical Therapist Past Accepting new patients
Athletic and Therapeutic Institute of Joliet LLC Physical Therapist Past Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients
CH Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

8170 McCormick Blvd
Ste 112
Skokie, IL 60076
Phone (920) 252-4442

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1629160387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 N 86TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 N 86TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261922",
            "telephone_number": "414-364-3272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9976 SE Washington St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972162422",
            "country_code": "US",
            "telephone_number": "503-465-7640",
            "fax_number": "503-546-7641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19031 33rd Ave W Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980364724",
            "country_code": "US",
            "telephone_number": "425-741-0056",
            "fax_number": "425-741-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 W Dayton St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980207221",
            "country_code": "US",
            "telephone_number": "425-582-8118",
            "fax_number": "425-582-7420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15808 Mill Creek Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WA",
            "postal_code": "980121500",
            "country_code": "US",
            "telephone_number": "425-225-6867",
            "fax_number": "425-332-2494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERFLEK",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60363536",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11926-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2160507",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.