Joshua Serba, PTA

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Practice address

645 N Church St
Elkhorn, WI 53121-2204

Phone

(262) 723-4963

NPI assigned

Jan 5, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1780129387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N CHURCH ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531212204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N CHURCH ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531212204",
            "telephone_number": "262-723-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERBA",
        "first_name": "JOSHUA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Joy Schubert, OTR
• Emily Janell Schuren, CCC-SLP
• Lisa Schwartz, OT
• James V Seegers, M.D.
• Marciel Mary Selby, O.T.R
• Kushal R Shah, DO
• Nishit Shah, M.D.
• Alexandra Sharapova, MS, RD, CSO, CD
• Nisha D. Sheth, M.D.
• Jessica Marie Shipman, LPC

• All providers in Elkhorn, WI
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.