NPIMap

Organization Active NPI

New York Luna Care Physical Therapy PLLC

  • Physical Therapist
  • Pearl River, NY
National Provider Identifier
1194314062
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NEW YORK LUNA CARE PHYSICAL THERAPY PLLC
Practice address
1 Blue Hill PLZ Ste 1509
Pearl River, NY 10965-3165
Phone
(866) 525-3175
NPI assigned
Jan 14, 2021
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Lily Ann Beltran
Title
President
Phone
(949) 291-4421

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

1 Blue Hill PLZ Ste 1509
Pearl River, NY 10965-3165

Mailing address

PO Box 290609
Nashville, TN 37229-0609
Phone (866) 525-3175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210205001168 NY Part B Supplier - Clinic/Group Practice 0840604666 Receives reassigned benefits from 265 practitioners
Practice locations: Pearl River, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 290

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 290

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1194314062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290609",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372290609",
            "telephone_number": "866-525-3175",
            "fax_number": "650-227-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BLUE HILL PLZ STE 1509",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109653165",
            "telephone_number": "866-525-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK LUNA CARE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "BELTRAN",
        "authorized_official_first_name": "LILY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-291-4421"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.