Individual provider Active NPI

Lisa Valastro

  • Physical Medicine & Rehabilitation Physician
  • Tampa, FL
National Provider Identifier
1225422579
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
63657 Issued in NY
Practice address
8600 Hidden River Pkwy
Tampa, FL 33637-1016
Phone
(518) 262-6488
Fax
(941) 256-7452
NPI assigned
Mar 25, 2015
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 63657 NY Primary

Addresses

Primary practice location

8600 Hidden River Pkwy
Tampa, FL 33637-1016

Mailing address

47 New Scotland Ave
Dept of PM&R
Albany, NY 12208-3412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240717005173 FL Practitioner - Physical Medicine and Rehabilitation 4981949534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Regeneration Orthopedics of Florida, PLLCGroup PAC ID 8729383740, 5 clinicians

Practice addresses (Care Compare)

8600 Hidden River Pkwy
Suite 700
Tampa, FL 33637-1103
Phone (813) 544-3123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
63657NYMDPhysical Medicine & Rehabilitation Physician
18232CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Regeneration Orthopedics of Florida, PLLC. CurrentSince Apr 4, 2024 Accepting new patients
New Regeneration Orthopedics of Florida, PLLC. Physical Medicine & Rehabilitation CurrentSince Apr 4, 2024 Accepting new patients

Locations

5630 Marquesas Cir
Sarasota, FL 34233
Phone (941) 357-1773

625 6th Ave S
Ste 455
St Petersburg, FL 33701
Phone (727) 440-5410

8600 Hidden River Pkwy
Tampa, FL 33637
Phone (813) 544-3123

8600 Hidden River Pkwy
Ste 700
Tampa, FL 33637
Phone (813) 544-3123

1412 Trovillion Ave
Winter Park, FL 32789
Phone (407) 856-3695

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1225422579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "address_2": "DEPT OF PM&R",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 HIDDEN RIVER PKWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336371016",
            "telephone_number": "518-262-6488",
            "fax_number": "941-256-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALASTRO",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "63657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.