SERENA MARIE LICASTRO L.MT
NPI 1255151510
Massage Therapist in Staten Island, NY

Q: What is Serena Marie Licastro's NPI number?

The NPI number for Serena Marie Licastro is 1255151510. It was assigned to this individual provider in the NPPES registry on October 11, 2024. The provider is also known as Serena Marie Licastro L.M.T.

Q: What is Serena Marie Licastro's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Active since October 11, 2024

130 ROSE AVE, STATEN ISLAND, NY 10306(718) 909-3819 Get Directions Write a Review

NPPES record last updated: March 8, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 8, 2026, Jan 29, 2026, Oct 11, 2024 (3 updates tracked since 2024).

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About Serena Marie Licastro L.mt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENA MARIE LICASTRO L.MT (NPI 1255151510) is an individual massage therapist in Staten Island, New York, licensed in New York (030763) and active in the NPI registry since October 2024. She maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1255151510

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameSERENA MARIE LICASTROCredential: L.MT

Location Address130 ROSE AVEStaten Island, NY 10306-2241

Mailing Address130 Rose AveStaten Island, NY 10306-2241 · (718) 909-3819

Phone(718) 909-3819

Sole ProprietorYes

Enumeration DateOctober 11, 2024

Last NPPES UpdateMarch 8, 20263 updates tracked since enumeration

NPPES CertifiedMarch 8, 2026

✔ NPI 1255151510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in NY · 030763

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

130 ROSE AVE, Staten Island, NY 10306

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Other Names 1

Professional Name (2)Serena Marie Licastro L.m.t

Secondary Practice Location 1

Location 1104 Franklin StNew York, NY 10013-2923 · Phone (718) 909-3819

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENEVIEVE SPOTA

Nurse Practitioner (Adult Health)