Marek Serwatka, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05004733A Issued in IN

Practice address

932 Parkway Ave Ste B
Elkhart, IN 46516

Phone

(574) 293-4512

Fax

(574) 293-4513

NPI assigned

Jan 19, 2012

Last updated

Jul 11, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Physical Therapy Professionals PC

  • Physical Therapy Clinic/Center
  • Elkhart, IN
  • NPI 1588920128
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1821369091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 PARKWAY AVE STE B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169345",
            "telephone_number": "574-293-4512",
            "fax_number": "574-293-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 PARKWAY AVE STE B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "46516",
            "telephone_number": "574-293-4512",
            "fax_number": "574-293-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERWATKA",
        "first_name": "MAREK",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-19",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004733A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Outpatient Services
• Serenidad Counseling LLC (Serenidad Counseling)
• Serenity Home Medical, LLC
• Servants Heart Home Health Care
• Alexander Serwatka, LAT, ATC
• Fabiola Sewell, CPHT
• Kaylie Elizabeth Sexton, FNP-C
• Louis C Sfreddo, MD
• Choudhury Shadmani, MD
• Apeksha R Shah, NP

• Physical Therapist in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.