Active NPI
Laura Disarlo, LMT
- Massage Therapist
- Orlando, FL
National Provider Identifier
1306170634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 54932
- Practice address
- 2913 Corrine Dr
Orlando, FL 32803-2227 - Phone
- (407) 629-7757
- NPI assigned
- Sep 18, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 54932 | FL | Primary |
Addresses
Primary practice location
2913 Corrine Dr
Orlando, FL 32803-2227
Mailing address
12764 Forestedge Cir
Orlando, FL 32828-8605
Phone (407) 625-9085
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54932 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253232000000",
"number": "1306170634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12764 FORESTEDGE CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328288605",
"telephone_number": "407-625-9085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2913 CORRINE DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328032227",
"telephone_number": "407-629-7757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISARLO",
"first_name": "LAURA",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-18",
"last_updated": "2009-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "54932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.