Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Serena Mazzurco

Individual provider Physical Therapist · NPI 1639961592

Serena Mazzurco is a Physical Therapist in Private Practice in Pinehurst, North Carolina. Qualified in 2025, 1 year ago. Practices with Tidewater Physical Therapy LLC, a 222-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, North Carolina and Virginia.

Years since qualifying
1
Licensed in
FL, NC, VA
In the registry since
2025
Specialties on file
3
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Practice location Address checks out

244 Olmsted Blvd Ste B
Pinehurst, NC 28374-6003
Phone: (910) 235-0655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300b Temple Lake Dr Ste 1, Colonial Heights, VA 23834-2973 — (804) 524-9036

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P25107 (NC)
Physical Therapist Taxonomy 225100000X · Licence 2305217057 (VA)
Physical Therapist Taxonomy 225100000X · Licence PT43579 (FL)

Record details

NPI number1639961592
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 19, 2025
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Tidewater Physical Therapy Llc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pinehurst