Organization Active NPI

Luna Medical & Wellness LLC

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1013644590
Registry record updated Feb 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LUNA MEDICAL & WELLNESS LLC
Practice address
8900 SW 107TH Ave Ste 200
Miami, FL 33176-1451
Phone
(786) 570-9928
NPI assigned
Aug 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2023

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

Authorized official

Name
Mr. Frank Elissalt
Title
Owner
Phone
(786) 570-9928

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

8900 SW 107TH Ave Ste 200
Miami, FL 33176-1451

Mailing address

8900 SW 107TH Ave Ste 200
Miami, FL 33176-1451
Phone (786) 570-9928

National Provider Directory

National Provider Directory

Locations

8900 SW 107th Ave
Ste 200
Miami, FL 33176
Phone (786) 570-9928

8760A SW 8th St
Miami, FL 33174
Phone (305) 207-8786

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676160000000",
    "number": "1013644590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 SW 107TH AVE STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761451",
            "telephone_number": "786-570-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 SW 107TH AVE STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761451",
            "telephone_number": "786-570-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA MEDICAL & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2023-02-12",
        "certification_date": "2023-02-12",
        "status": "A",
        "authorized_official_last_name": "ELISSALT",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-570-9928",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.