Individual provider Active NPI

Denise Serynek, PT

  • Pediatric Physical Therapist
  • Rockville Centre, NY
National Provider Identifier
1760636344
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
026551 Issued in NY
Practice address
132 Driscoll Ave
Rockville Centre, NY 11570-6007
Phone
(516) 652-8463
Fax
(516) 652-8463
NPI assigned
Nov 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 026551 NY Primary

Addresses

Primary practice location

132 Driscoll Ave
Rockville Centre, NY 11570-6007

Mailing address

132 Driscoll Ave
Rockville Centre, NY 11570-6007
Phone (516) 652-8463

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
026551NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1760636344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 DRISCOLL AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115706007",
            "telephone_number": "516-652-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 DRISCOLL AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115706007",
            "telephone_number": "516-652-8463",
            "fax_number": "516-652-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERYNEK",
        "first_name": "DENISE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "026551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.