Individual provider Active NPI

Katie L Serodio, DPT

  • Physical Therapist
  • Seabrook, NH
National Provider Identifier
1750300463
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2962 Issued in NH
Practice address
920 Lafayette Rd
Second Floor
Seabrook, NH 03874-4216
Phone
(603) 474-2259
NPI assigned
Jul 19, 2006
Last updated
Jun 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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 2962 NH Primary

Addresses

Primary practice location

920 Lafayette Rd
Second Floor
Seabrook, NH 03874-4216

Mailing address

73 Newton Rd
Ste 101
Plaistow, NH 03865-2424
Phone (978) 388-7272

Other identifiers 2

IdentifierTypeStateIssuer
084007528NH03OtherNHANTHEM INDIV #
495008OtherTUFTS HEALTH PLAN INDIV #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041119000372 NH Practitioner - Physical Therapist in Private Practice 0446214324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

50 Bridge St
Suite 200
Manchester, NH 03101-1630
Phone (603) 665-9222

55 High St
Suite 301B
Hampton, NH 03842-2213
Phone (603) 929-2880

881 Lafayette Rd
Suite K
Hampton, NH 03842-1242
Phone (603) 929-2880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Rehabilitation Network LLC Physical Therapist CurrentSince Mar 21, 2005 Accepting new patients
Pinnacle Rehabilitation Network, LLC Physical Therapist CurrentSince Mar 21, 2005 Accepting new patients
Pinnacle Rehabilitation Network, LLC Physical Therapist Current Accepting new patients
Coppola Physical Therapy and Fitness Gym LLC Physical Therapist PastSince Jun 1, 2009 Accepting new patients
Pinnacle Rehabilitation Network, LLC Physical Therapist Past Accepting new patients

Locations

55 High St
Ste 301B
Hampton, NH 03842
Phone (603) 929-2880

881 Lafayette Rd
Ste K
Hampton, NH 03842
Phone (603) 929-2880

50 Bridge St
Ste 200
Manchester, NH 03101
Phone (603) 665-9222

73 Newton Rd
Unit 101
Plaistow, NH 03865
Phone (978) 388-7272

920 Lafayette Rd
Unit 2
Seabrook, NH 03874
Phone (603) 474-2259

Organizations & group practices 5

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1750300463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NEWTON RD",
            "address_2": "STE 101",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652424",
            "telephone_number": "978-388-7272",
            "fax_number": "978-388-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 LAFAYETTE RD",
            "address_2": "SECOND FLOOR",
            "city": "SEABROOK",
            "state": "NH",
            "postal_code": "038744216",
            "telephone_number": "603-474-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERODIO",
        "first_name": "KATIE",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIV #",
            "identifier": "084007528NH03",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN INDIV #",
            "identifier": "495008",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seabrook, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.