Active NPI
Serena Marie Zea, PT, CWS
- Physical Therapist
- Walterboro, SC
National Provider Identifier
1639391352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8385
- Practice address
- 416 Robertson Blvd
Walterboro, SC 29488-2952 - Phone
- (843) 538-2055
- NPI assigned
- May 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8385 | SC | Primary |
Addresses
Primary practice location
416 Robertson Blvd
Walterboro, SC 29488-2952
Mailing address
416 Robertson Blvd
Walterboro, SC 29488-2952
Phone (843) 538-2055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00475110 | Other | VA | MEDICARE RAILROAD |
Other names 1
- Serena Marie Serena
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8385 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lowcountry Rehabilitation LP | Physical Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services of South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Orthovirginia, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
416 Robertson Blvd
Ste A
Walterboro, SC 29488
Phone (843) 538-2055
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Lexington, SC
- NPI 1902133689
-
- Physical Therapy Clinic/Center
- Walterboro, SC
- NPI 1972758662
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1639391352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 ROBERTSON BLVD",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "294882952",
"telephone_number": "843-538-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 ROBERTSON BLVD",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "294882952",
"telephone_number": "843-538-2055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEA",
"first_name": "SERENA",
"middle_name": "MARIE",
"credential": "PT, CWS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "8385",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00475110",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SERENA",
"last_name": "SERENA",
"middle_name": "MARIE",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Walterboro, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.