MEDICARE: SERENITY PHYSIO AND WELLNESS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1700738200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY PHYSIO AND WELLNESS, LLC

Provider Business Mailing Address
First Line	:	285 DICKINSON DR
Second Line	:
City	:	HIGHLAND VILLAGE
State	:	TX
Zip	:	75077-7018
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	285 DICKINSON DR
Second Line	:
City	:	HIGHLAND VILLAGE
State	:	TX
Zip	:	75077-7018
Country	:	US
Telephone Number	:	972-740-9529
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	KIMBERLY MEREDITH
Credential	:	PT, DPT
Telephone Number	:	972-740-9529

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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