Jude Warner Laserna, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

2305207587 Issued in VA

Practice address

8605 Centreville Rd
Manassas, VA 20110-5265

Phone

(703) 257-6258

NPI assigned

Nov 24, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1184098402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14006 GUNNERS PL",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201213536",
            "telephone_number": "804-931-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8605 CENTREVILLE RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105265",
            "telephone_number": "703-257-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASERNA",
        "first_name": "JUDE",
        "middle_name": "WARNER",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "VA",
            "license": "2305207587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Hlavac Lannak, LCSW
• Rebecca Laquey, MD
• Nina Paludan Larsen
• Christabel Lartey, NP
• Alexis Laryea
• Charles Brent Laslie, LCSW
• Kathryn Quinnette Laslie, OTR/L
• Nadia Lassic, PMHNP-BC
• Lasting Serenity Telepsychiatry Inc
• Sameeha Afshan Latif, BCABA

• Geriatric Physical Therapist in Manassas, VA
• Providers in Manassas, VA by specialty
• Geriatric Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.