Individual provider Active NPI

Timothy J Serrano, DPT

  • Physical Therapist
  • Helena, MT
National Provider Identifier
1871910653
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15083 Issued in MT
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

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20190124000426 NM Practitioner - Physical Therapist in Private Practice 6507175502 Reassigns benefits to 1 organization

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
Armada Physical Therapy of Albuquerque LLCGroup PAC ID 9830328954, 22 clinicians

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

LicenseStateTypeSpecialty
15083MTMDPhysical Therapist
P14717NCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Armada Physical Therapy of Albuquerque LLC CurrentSince Nov 15, 2018 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.

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.

Verify at the official NPI Registry.