Individual provider Active NPI

Marlene Vieira Scerrato, PTA

  • Physical Therapy Assistant
  • Southington, CT
National Provider Identifier
1740568567
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
00001154 Issued in CT
Practice address
18 S Center St
Southington, CT 06489-3121
Phone
(860) 621-5054
Fax
(860) 620-0270
NPI assigned
Jul 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 00001154 CT Primary

Addresses

Primary practice location

18 S Center St
Southington, CT 06489-3121

Mailing address

18 S Center St
Southington, CT 06489-3121
Phone (860) 621-5054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00001154CTMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1740568567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 S CENTER ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893121",
            "telephone_number": "860-621-5054",
            "fax_number": "860-620-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 S CENTER ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893121",
            "telephone_number": "860-621-5054",
            "fax_number": "860-620-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEIRA SCERRATO",
        "first_name": "MARLENE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "00001154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.