Julie Dianne De Luna

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160003215 Issued in IL

Practice address

1600 Torrence Ave Ste 900
Calumet City, IL 60409-5430

Phone

(708) 915-3190

NPI assigned

Feb 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1013613827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 121ST PL",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061335",
            "telephone_number": "708-351-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 TORRENCE AVE STE 900",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095430",
            "telephone_number": "708-915-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LUNA",
        "first_name": "JULIE",
        "middle_name": "DIANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160003215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy L Cupper, LCSW
• Cynthia Goldman S.C.
• Pinakinprasad K Dave, M.D.
• David N Gasbarro
• Laconyer Davis, MACC, LPC, NCC, CADC
• Andria Deberry
• Lezley Gianna Diaz, PHARMD
• Jerry Wayne Dillon, D.D.S., M.S., PH.D.
• Dillons Dental Services LLC (Dillon Dental Services LTD)
• Distinctive Voice Therapy & Wellness PLLC

• Physical Therapy Assistant in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.