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Active NPI 1720396732 Individual Practitioner Female Practitioner

Serena Denise Johnson , LPT

Contractor • Philadelphia, PA

Professional Overview & Biography Verified Profile Summary

Serena Johnson, LPT is a registered healthcare professional specializing in Contractor in Philadelphia, PA. Practice services are available at 5151A WALNUT STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5151a Walnut Street

Philadelphia, PA 19139

Telephone 6107337539
Fax 2158788870
Associated Practice Facility / Clinic
🏢 Graves Derma Care Center Pc Facility NPI 1265643357

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Philadelphia, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
32 Specialists

Practicing in Philadelphia, PA (194 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License PA PT006315L

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active September 24, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2010

Registered at 5151A WALNUT STREET, PHILADELPHIA, PA 19139 (Tel: 6107337539)

📍
Updated Business Mailing Address September 24, 2010

Registered at 3900 FORD RD, 14A, PHILADELPHIA, PA 191312039 (Tel: 6107337539)

👤
Provider Name / Credentials Updated September 24, 2010

Recorded as SERENA JOHNSON, LPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2010

Contractor (License #PT006315L in PA)

🟢
Initial NPI Registration & Enumeration September 24, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720396732
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2010
Last Update: September 24, 2010
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

3900 Ford Rd, 14a

Philadelphia, PA 191312039

Phone: 6107337539

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.