Kristen Marie Seroka, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016495 Issued in OH

Practice address

20329 N 59TH Ave Ste A2
Glendale, AZ 85308-6854

Phone

(623) 215-4161

Fax

(623) 201-8589

NPI assigned

Feb 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Therapy Tree Group PLLC

  • Hearing and Speech Clinic/Center
  • Houston, TX
  • NPI 1689385973
  NPD (past)

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1699275396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20329 N 59TH AVE STE A2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086854",
            "telephone_number": "623-215-4161",
            "fax_number": "623-201-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20329 N 59TH AVE STE A2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086854",
            "telephone_number": "623-215-4161",
            "fax_number": "623-201-8589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9150 W Indian School Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850372385",
            "country_code": "US",
            "telephone_number": "623-215-4161",
            "fax_number": "623-201-8589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEROKA",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "13375",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT016495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenisync Mental Health
• Serenity Preserved Counseling PLLC
• Kayci Serino, IDMT
• Maralina Serio, DC
• Celicia Sermeno
• Johnny Leon Serrano, DO
• Mary Ann Serrano
• Christopher Sesi
• Audrey Sessions-Spezzacatena, PSY.D., ABPP
• Heather Dawn Sestili, MSCP, NCC, RPT, LPC

• Physical Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.