Rebecca Serrano, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2108 Issued in CT

Practice address

22 Woodberry CT, Wolcott
Wolcott, CT 06716-0671

Phone

(203) 695-9239

Fax

(774) 430-6421

NPI assigned

Dec 9, 2020

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1629674122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WOODBERRY CT, WOLCOTT",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "06716",
            "telephone_number": "203-695-9239",
            "fax_number": "774-430-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WOODBERRY CT, WOLCOTT",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067160671",
            "telephone_number": "203-695-9239",
            "fax_number": "774-430-6421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Amity Rd",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "CT",
            "postal_code": "065252206",
            "country_code": "US",
            "telephone_number": "203-387-0076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "REBECCA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "2108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Wolcott, CT
• Providers in Wolcott, CT by specialty
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.