Shari Rachel Ser, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT11870 Issued in CA

Practice address

1930 Russell St
Berkeley, CA 94703-2256

Phone

(510) 725-1127

NPI assigned

Jul 11, 2017

Last updated

Mar 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1629590757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 RUSSELL ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032256",
            "telephone_number": "510-725-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 RUSSELL ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032256",
            "telephone_number": "510-725-1127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SER",
        "first_name": "SHARI",
        "middle_name": "RACHEL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT11870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seneca Family of Agencies (Cragmont)
• Seneca Family of Agencies (Berkeley High)
• Merrie Sennett, LMFT, LPC
• Andrew Robert Seplow, L.AC.
• Ari Sepulveda, M.S., CCC-SLP
• Kelly Diana Serpico
• Katrina Rose Serrano, LCSW
• Mark Joseph Serrano, RN
• Vanessa Orantes Serratos
• Alexis Session

• Physical Therapist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.