Luis Pena, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501004398 Issued in MI

Practice address

202 Middle St
Nashville, MI 49073-8520

Phone

(269) 804-9929

NPI assigned

Mar 10, 2014

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rapid Physical Therapy LLCGroup PAC ID 8325221245, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rapid Physical Therapy, LLC

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1578866307
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1083030480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MIDDLE ST",
            "city": "NASHVILLE",
            "state": "MI",
            "postal_code": "490738520",
            "telephone_number": "269-804-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MIDDLE ST",
            "city": "NASHVILLE",
            "state": "MI",
            "postal_code": "490738520",
            "telephone_number": "269-804-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "LUIS",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loving Arms Home Care
• Gordon Shane McNeill, R.PH.
• Jody N Moore
• Nashville & Bellevue Family Chiropractic Center Inc
• Nashville Family Dentistry
• Joseph Anthony Pipesh, D.D.S.
• Kristin Joyce Richards-Capp, LM, CPM
• Teather M Sebastian, ARDMS
• Catherine Marie Sutton, LPN

• Physical Therapist in Nashville, MI
• Providers in Nashville, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.