SHINETTE SERNA - BANTUG (NPI# 1780039040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780039040 |
| Entity Type | Individual |
| Full Name | SHINETTE SERNA - BANTUG |
| Credential | PT |
| Practice Address |
1 Theall Rd Rye NY 10580-1404 |
| Practice Telephone | 9149258366 |
| Mailing Telephone | 9149258366 |
| Enumeration Date | 2016-04-24 |
| Last Update Date | 2016-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
024131 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1 THEALL RD |
| City | RYE |
| State | NY |
| Zip Code | 10580-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477551851 | Walter E Bottizer | Radiology | 1 Theall Rd, Rye, NY 10580-1404 | 2005-07-11 |
| 1245879816 | Deborah Ann Delluomo | Social Worker | 1 Theall Rd, Rye, NY 10580-1404 | 2019-12-31 |
| 1841653086 | Lisa J Luehman | Nurse Practitioner | 1 Theall Rd, Rye, NY 10580-1404 | 2016-04-04 |
| 1366804486 | Colleen Purcell Tenan | Internal Medicine | 1 Theall Rd, Rye, NY 10580-1404 | 2016-03-28 |
| 1134518145 | Ian Yarett | Internal Medicine | 1 Theall Rd, Rye, NY 10580-1404 | 2015-01-14 |
| 1831590645 | Christina Maureen Schubert | Physician Assistant | 1 Theall Rd, Rye, NY 10580-1404 | 2014-09-11 |
| 1831536291 | Ashley Monroe Pritchard | Obstetrics & Gynecology | 1 Theall Rd, Rye, NY 10580-1404 | 2013-05-25 |
| 1477829018 | Alicia Isabel Robbins | Obstetrics & Gynecology | 1 Theall Rd, Rye, NY 10580-1404 | 2012-03-28 |
| 1407177553 | Lisa Pham Anthony | Dermatology | 1 Theall Rd, Rye, NY 10580-1404 | 2010-06-11 |
| 1578892600 | The Rye Ambulatory Surgery Center, LLC | Clinic/Center | 1 Theall Rd, Rye, NY 10580-1404 | 2009-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624984 | Kathleen Brennan | Occupational Therapist | The Osborn, 101 Theall Rd., Rye, NY 10580 | 2019-11-22 |
| 1760991046 | Dorothy Reisner | Counselor | 40 Midland Ave, Rye, NY 10580 | 2017-09-29 |
| 1295113280 | Purchase Street Family Dental P.C. | Dentist | 266 Purchase St., Rye, NY 10580 | 2015-05-11 |
| 1245617588 | Lauren Rosen | Social Worker | 16 School Street, Lower Level Suites, Rye, NY 10580 | 2015-05-06 |
| 1487057683 | Advances In Contemporary Psychology LLC | Psychologist | 66 Milton Road, #a12, Rye, NY 10580 | 2014-10-01 |
| 1508277583 | Ruth Ursula Donovan | Pediatrics | 2104 Theall Road, Rye, NY 10580 | 2014-05-13 |
| 1407267610 | Lori Watkins Cohen | Dentist | 105-107 Theodore Fremd Ave, Rye, NY 10580 | 2014-05-12 |
| 1134541865 | Paul K. Chu, Dds, Pllc | Dentist | 130 Thedore Fremd #m2, Rye, NY 10580 | 2014-01-15 |
| 1760812705 | Steven Edward Norman | Specialist/Technologist | 1 Cedar Street, Rye, NY 10580 | 2013-11-12 |
| 1689921181 | Teresa Caridi | Health Educator | 18 Summit Avenue, Rye, NY 10580 | 2012-08-14 |
| Find all providers in zip 10580 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425968 | Onward Physical Therapy, Pllc | Physical Therapist | 625 West Dryden Rd, Freeville, NY 13068-9746 | 2020-07-27 |
| 1487270765 | Narda Silipo | Physical Therapist | 40 Merrick Ave, East Meadow, NY 11554-1581 | 2020-06-22 |
| 1851931380 | Shirley John | Physical Therapist | 51 Highway Ave, Congers, NY 10920-2519 | 2020-01-13 |
| 1467096453 | Kathleen Freund | Physical Therapist | 1963 Lincoln Ct, Westbury, NY 11590-5924 | 2019-11-01 |
| 1487204038 | Monique Susanne Berg-spindelman | Physical Therapist | 4 Cedarwood Cir, Pittsford, NY 14534-3246 | 2019-09-16 |
| 1215586839 | Bishoy Maximous | Physical Therapist | 47 Brook Ave, Staten Island, NY 10306-4434 | 2019-09-06 |
| 1558915488 | David Michael Avery | Physical Therapist | 107 Laverack Ave, Lancaster, NY 14086-1844 | 2019-07-29 |
| 1659855534 | Eileen Galang | Physical Therapist | 347 Richard Ct, Pomona, NY 10970-2310 | 2018-09-18 |
| 1467935494 | Megan Passarelle | Physical Therapist | 29 Debragga Ave, East Moriches, NY 11940-1416 | 2018-09-14 |
| 1891275012 | Betty Ann M Dubacher | Physical Therapist | 43 Red Pond Rd, Petersburg, NY 12138-5916 | 2018-08-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.