Individual provider Active NPI

Amanda Beth Serani, D.P.T.

  • Physical Therapist
  • Winter Park, FL
National Provider Identifier
1972753416
Registry record updated Sep 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 24074 Issued in FL
Practice address
1890 State Road 436
Suite 251
Winter Park, FL 32792-2228
Phone
(407) 657-5029
Fax
(407) 657-6320
NPI assigned
Sep 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 24074 FL Primary

Addresses

Primary practice location

1890 State Road 436
Suite 251
Winter Park, FL 32792-2228

Mailing address

1890 State Road 436
Suite 251
Winter Park, FL 32792-2228
Phone (407) 657-5029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091104000521 FL Practitioner - Physical Therapist in Private Practice 3678611068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Works, LLCGroup PAC ID 1658331707, 5 clinicians

Practice addresses (Care Compare)

1860 State Rd
436 Suite 1000
Winter Park, FL 32792-2255
Phone (407) 657-5029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 24074FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Works LLC Physical Therapist CurrentSince Aug 10, 2009 Accepting new patients
Physiotherapy Works LLC Physical Therapist PastSince Aug 10, 2009 Accepting new patients
Physiotherapy Works, LLC PastSince Oct 6, 2024 Accepting new patients

Locations

12301 Lake Underhill Rd
Ste 118
Orlando, FL 32828
Phone (407) 218-4660

1890 State Road 436
Ste 251
Winter Park, FL 32792
Phone (407) 657-5029

1860 State Road 436
Ste 1000
Winter Park, FL 32792
Phone (407) 657-5029

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1221955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221955200000",
    "number": "1972753416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 STATE ROAD 436",
            "address_2": "SUITE 251",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922228",
            "telephone_number": "407-657-5029",
            "fax_number": "407-657-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 STATE ROAD 436",
            "address_2": "SUITE 251",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922228",
            "telephone_number": "407-657-5029",
            "fax_number": "407-657-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERANI",
        "first_name": "AMANDA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-21",
        "last_updated": "2008-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 24074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2008; 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.