Provider Demographics
NPI:1679365944
Name:ANASTASI, LAUREN BETHANY
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:BETHANY
Last Name:ANASTASI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3922 W SANDPIPER DR APT 5
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-2475
Mailing Address - Country:US
Mailing Address - Phone:301-873-9346
Mailing Address - Fax:
Practice Address - Street 1:3319 S STATE ROAD 7 STE 310
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33449-8147
Practice Address - Country:US
Practice Address - Phone:587-795-5870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL43097225100000X
FLPT43097225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist