Individual provider Active NPI

Serena Coleman, MPT

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1649329525
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0008218 Issued in WA
Practice address
315 W 9TH Ave
Suite 100
Spokane, WA 99204-2501
Phone
(509) 326-8878
Fax
(509) 326-1157
NPI assigned
Jan 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT0008218 WA Primary

Addresses

Primary practice location

315 W 9TH Ave
Suite 100
Spokane, WA 99204-2501

Mailing address

315 W 9TH Ave
Suite 100
Spokane, WA 99204-2501
Phone (509) 326-8878

Other identifiers 1

IdentifierTypeStateIssuer
0202240OtherWAL & I PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107001135 WA Practitioner - Physical Therapist in Private Practice 7214955301 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0008218WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Royter Physical Therapy Inc Physical Therapist CurrentSince May 17, 2015 Accepting new patients
Studio Brava Physical Therapy, Inc. Physical Therapist CurrentSince Sep 6, 2021 Accepting new patients
Stepping Stones Pediatric Therapy Past Accepting new patients

Locations

11110 Ohio Ave
Ste 105
Los Angeles, CA 90025
Phone (310) 775-1609

2772 S Grand Blvd
Spokane, WA 99203
Phone (509) 456-0888

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649329525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 9TH AVE",
            "address_2": "SUITE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042501",
            "telephone_number": "509-326-8878",
            "fax_number": "509-326-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 9TH AVE",
            "address_2": "SUITE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042501",
            "telephone_number": "509-326-8878",
            "fax_number": "509-326-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "SERENA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT0008218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I PIN",
            "identifier": "0202240",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.