Provider Demographics
NPI:1134011323
Name:SMIT, LACEY SCRIMA (PT, DPT)
Entity type:Individual
Prefix:
First Name:LACEY
Middle Name:SCRIMA
Last Name:SMIT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:LACEY
Other - Middle Name:ALESANDRA
Other - Last Name:SCRIMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:3729 SURRY RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-1631
Mailing Address - Country:US
Mailing Address - Phone:978-578-6625
Mailing Address - Fax:
Practice Address - Street 1:1604 OLD DONATION PKWY
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3063
Practice Address - Country:US
Practice Address - Phone:757-937-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist