Individual provider Active NPI

James Sero

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1700569696
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29955 Issued in MD
Practice address
11271 New Hampshire Ave
Silver Spring, MD 20904-2631
Phone
(240) 485-1280
NPI assigned
Aug 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 031371 PA
Physical Therapist 225100000X TX
Physical Therapist 225100000X 29955 MD Primary

Addresses

Primary practice location

11271 New Hampshire Ave
Silver Spring, MD 20904-2631

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

1540 Eastchase Pkwy
Fort Worth, TX 76120-4404
Phone (972) 979-6577

Other practice location 2

2805 Old Post Rd Ste 110
Harrisburg, PA 17110-3676
Phone (717) 635-2030

Other practice location 3

1540 Eastchase Pkwy Ste 4A
Fort Worth, TX 76120-4404
Phone (972) 979-6577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709000028 DC Practitioner - Physical Therapist in Private Practice 0042665457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29955MDMDPhysical Therapist
031371PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 5, 2024 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Feb 5, 2024 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Aug 14, 2023 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 5, 2024 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Aug 14, 2023 Accepting new patients
Ati Holdings, LLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

2805 Old Post Rd
Ste 110
Harrisburg, PA 17110
Phone (717) 635-2030

8125 Adams Dr
#B
Hummelstown, PA 17036
Phone (717) 220-2020

302 W Main St
Ste 101
Middletown, PA 17057
Phone (717) 388-1119

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

1540 Eastchase Pkwy
Ste 4A
Fort Worth, TX 76120

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1700569696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11271 NEW HAMPSHIRE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042631",
            "telephone_number": "240-485-1280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 Eastchase Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761204404",
            "country_code": "US",
            "telephone_number": "972-979-6577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2805 Old Post Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171103676",
            "country_code": "US",
            "telephone_number": "717-635-2030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1540 Eastchase Pkwy Ste 4A",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761204404",
            "country_code": "US",
            "telephone_number": "972-979-6577",
            "fax_number": "817-672-0938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERO",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-08",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "031371",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

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