Active NPI
Linda Sue Serkman, MT
- Massage Therapist
- Colorado Springs, CO
National Provider Identifier
1760077689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3117
- Practice address
- 12105 Ambassador Dr
Colorado Springs, CO 80921-3642 - Phone
- (719) 330-2633
- NPI assigned
- Mar 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 3117 | CO | Primary |
Addresses
Primary practice location
12105 Ambassador Dr
Colorado Springs, CO 80921-3642
Mailing address
11255 Pine Meadows Rd
Colorado Springs, CO 80908-4206
Phone (719) 330-2633
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3117 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1760077689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11255 PINE MEADOWS RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809084206",
"telephone_number": "719-330-2633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12105 AMBASSADOR DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809213642",
"telephone_number": "719-330-2633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERKMAN",
"first_name": "LINDA",
"middle_name": "SUE",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-02",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CO",
"license": "3117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.