Serenna J Fitzpatrick, PTA, LMT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PA6100 Issued in ME

Practice address

98 Bangor St Ste a
Houlton, ME 04730-1603

Phone

(207) 521-0200

Fax

(207) 521-0210

NPI assigned

Mar 8, 2024

Sex

Female

Sole proprietor

No

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

Locations

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.

• County Physical Therapy, LLC

  • Physical Therapist
  • Caribou, ME
  • NPI 1386686616
  NPD

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1750149241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1423",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047305423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 BANGOR ST STE A",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301603",
            "telephone_number": "207-521-0200",
            "fax_number": "207-521-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "SERENNA",
        "middle_name": "J",
        "credential": "PTA, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "PA6100",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT2094",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph P Fahey, M.D.
• Michael Arthur Fasulo, LCSW
• Judith E. Feibus, LCSW
• Lisa Ann Findlater
• Amanda Nicole Saucier Fitzpatrick, DPT
• Theresa Flannery-Blachura, MSW
• Lois M Flewelling, LCPC
• Melissa Sue Flewelling, LCPC
• Alexander Ricky Folsom, PTA, ATC
• Colleen P Folsom, RN

• Physical Therapy Assistant in Houlton, ME
• Providers in Houlton, ME by specialty
• Physical Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.