Lauren M Di Serafino, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306606037 Issued in VA

Practice address

600 Gresham Dr
Norfolk, VA 23507-1904

Phone

(757) 839-6566

NPI assigned

Aug 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lauren Michelle Diserafino Other name

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": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1659103729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-839-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-839-6566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4439 Virginia Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623100",
            "country_code": "US",
            "telephone_number": "757-252-0590",
            "fax_number": "833-627-5148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DI SERAFINO",
        "first_name": "LAUREN",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306606037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "DISERAFINO",
            "middle_name": "MICHELLE",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erin Dewoody, BCBA
• Samantha Sharmini Dewundara, MD
• David Judson Dexter II, MD
• Sarit Dhar, MD
• Kiranjit Kaur Dhillon, MD
• Diabetes Education Association of Virginia
• Diabetic Foot Center of Tidewater
• Dialyze Direct VA LLC
• Diamond Life Services Charity Incorporated
• Beth P. Diamonstein, CCC, SLP

• Physical Therapy Assistant in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.