Active NPI
Lauren Beth Starace
- Physical Therapist
- Ashburn, VA
National Provider Identifier
1124270616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305206813
- Practice address
- 44927 George Washington Blvd
#210
Ashburn, VA 20147-4295 - Phone
- (571) 291-9936
- NPI assigned
- Oct 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18432 | MA | |
| Physical Therapist | 225100000X | 40QA01215900 | NJ | |
| Physical Therapist | 225100000X | PT36159 | CA | |
| Pediatric Physical Therapist | 2251P0200X | 2305206813 | VA | |
| Physical Therapist | 225100000X | 2305206813 | VA | Primary |
Addresses
Primary practice location
44927 George Washington Blvd
#210
Ashburn, VA 20147-4295
Mailing address
44927 George Washington Blvd
#210
Ashburn, VA 20147-4295
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18432 | MA | MD | Periodontist |
| PT36159 | CA | MD | Physical Therapist |
| 40QA01215900 | NJ | MD | Physical Therapist |
| 2305206813 | VA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467676800000",
"number": "1124270616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44927 GEORGE WASHINGTON BLVD",
"address_2": "#210",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201474295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44927 GEORGE WASHINGTON BLVD",
"address_2": "#210",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201474295",
"telephone_number": "571-291-9936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARACE",
"first_name": "LAUREN",
"middle_name": "BETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-16",
"last_updated": "2016-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "18432",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01215900",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT36159",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "VA",
"license": "2305206813",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305206813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.