Individual provider Active NPI

Frank Serino, MS PT, DPT

  • Physical Therapist
  • Wilkes Barre, PA
National Provider Identifier
1689870347
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 012939L Issued in PA
Practice address
1086 Highway 315 Blvd
Wilkes Barre, PA 18702-7012
Phone
(570) 823-7761
NPI assigned
Jun 21, 2007
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 PT 012939L PA Primary

Addresses

Primary practice location

1086 Highway 315 Blvd
Wilkes Barre, PA 18702-7012

Mailing address

403 Ice Harvest Dr
Mountain Top, PA 18707-9607
Phone (215) 873-5071

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050328000141 PA Practitioner - Physical Therapist in Private Practice 3274589866 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derek Enterprises LLCGroup PAC ID 1355791252, 4 clinicians
Steffie Enterprises, IncGroup PAC ID 0840225736, 38 clinicians

Practice addresses (Care Compare)

106 Rotary Dr
West Hazleton, PA 18202-1182
Phone (570) 459-6333

1086 Hwy 315 Blvd
Wilkes Barre, PA 18702-7012
Phone (570) 823-7761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT 012939LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Perk Physical Therapy & Sports Rehab., Inc Physical Therapist PastSince Dec 9, 2003 Accepting new patients
Southeastern Health Services of Pennsylvania, LLC Past Accepting new patients

Organizations & group practices 6

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1689870347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 ICE HARVEST DR",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187079607",
            "telephone_number": "215-873-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 HIGHWAY 315 BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027012",
            "telephone_number": "570-823-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERINO",
        "first_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "MS PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT 012939L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.