Active NPI
Lauren Hartsfield
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1457879249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305212764
- Practice address
- 5604 Virginia Beach Blvd Ste 101
Virginia Beach, VA 23462-5631 - Phone
- (757) 455-5000
- Fax
- (757) 319-4142
- NPI assigned
- Aug 31, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306603051 | VA | |
| Physical Therapist | 225100000X | 2305212764 | VA | Primary |
Addresses
Primary practice location
5604 Virginia Beach Blvd Ste 101
Virginia Beach, VA 23462-5631
Mailing address
5604 Virginia Beach Blvd Ste 101
Virginia Beach, VA 23462-5631
Phone (757) 455-5000
Other practice location 1
Odu Monarch Physical Therapy 1015 W 47th St
Norfolk, VA 23529-0001
Phone (757) 683-7041
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 |
|---|---|---|---|
| 2305212764 | VA | MD | Physical Therapist |
| 2306603051 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1457879249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5604 VIRGINIA BEACH BLVD STE 101",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234625631",
"telephone_number": "757-455-5000",
"fax_number": "757-319-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5604 VIRGINIA BEACH BLVD STE 101",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234625631",
"telephone_number": "757-455-5000",
"fax_number": "757-319-4142"
}
],
"practiceLocations": [
{
"address_1": "Odu Monarch Physical Therapy 1015 W 47th St",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235290001",
"country_code": "US",
"telephone_number": "757-683-7041",
"fax_number": "757-683-7138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARTSFIELD",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306603051",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305212764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.