Active NPI
Timothy J Serrano, DPT
- Physical Therapist
- Helena, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15083
- Practice address
- 1302 Prospect Ave Ste C
Helena, MT 59601 - Phone
- (406) 502-1900
- Fax
- (406) 502-1333
- NPI assigned
- Mar 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0013910 | CO | |
| Orthopedic Physical Therapist | 2251X0800X | P14717 | NC | |
| Physical Therapist | 225100000X | 15083 | MT | Primary |
Addresses
Primary practice location
1302 Prospect Ave Ste C
Helena, MT 59601
Mailing address
PO Box 5718
Kalispell, MT 59903-5718
Phone (406) 756-0134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2401 Cabezon Blvd SE
Suite 102
Rio Rancho, NM 87124-1513
Phone (505) 994-2599
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15083 | MT | MD | Physical Therapist |
| P14717 | NC | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Armada Physical Therapy of Albuquerque LLC | Current | Accepting new patients |
Locations
2929 Coors Blvd NW
Ste 100
Albuquerque, NM 87120
Phone (505) 239-8969
6400 Jefferson St NE
Ste 102
Albuquerque, NM 87109
Phone (505) 344-2922
1400 Main St NW
Ste 12
Los Lunas, NM 87031
Phone (505) 865-4368
2401 Cabezon Blvd SE
Ste 102
Rio Rancho, NM 87124
Phone (505) 994-2599
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1851713663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1871910653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5718",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599035718",
"telephone_number": "406-756-0134",
"fax_number": "406-309-2579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 PROSPECT AVE STE C",
"city": "HELENA",
"state": "MT",
"postal_code": "59601",
"telephone_number": "406-502-1900",
"fax_number": "406-502-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "TIMOTHY",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-18",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0013910",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "P14717",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "15083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.