Individual provider Active NPI

Joseph L Serrano, RPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1982741500
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17259 Issued in CA
Practice address
4157 Eagle Rock Blvd
Suite 7
Los Angeles, CA 90065-4492
Phone
(323) 982-1566
Fax
(323) 982-1680
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT17259 CA Primary

Addresses

Primary practice location

4157 Eagle Rock Blvd
Suite 7
Los Angeles, CA 90065-4492

Mailing address

4157 Eagle Rock Blvd
Suite 7
Los Angeles, CA 90065-4492
Phone (323) 982-1566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT17259CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wholistic Physical Therapy Inc Physical Therapist Past Accepting new patients
Wellcare Physical Therapy Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982741500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4157 EAGLE ROCK BLVD",
            "address_2": "SUITE 7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900654492",
            "telephone_number": "323-982-1566",
            "fax_number": "323-982-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4157 EAGLE ROCK BLVD",
            "address_2": "SUITE 7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900654492",
            "telephone_number": "323-982-1566",
            "fax_number": "323-982-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "JOSEPH",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT17259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.