Justine Raven Luna, COTA

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

214825 Issued in TX

Practice address

900 Washington Ave
Waco, TX 76701-1200

Phone

(254) 296-9792

NPI assigned

Oct 22, 2017

Sex

Female

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

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": "1508630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508630400000",
    "number": "1285145847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 S ADAMS ST",
            "city": "MC GREGOR",
            "state": "TX",
            "postal_code": "766572357",
            "telephone_number": "254-242-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WASHINGTON AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767011200",
            "telephone_number": "254-296-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "JUSTINE",
        "middle_name": "RAVEN",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-22",
        "last_updated": "2017-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "214825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Luedke, ATC/L
• Tara Luers
• Michaela Luevano, BT
• Alondra Lugo
• Stacy Leighann Luka, DO
• Thomas E. Lundeen, M.D.
• Meagan Denise Lunsford, LMSW
• Jacob Lutgen
• Sheila A Luttrull, NP
• Amy Kieutran Luu, MD

• Pediatric Occupational Therapist in Waco, TX
• Providers in Waco, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2017; 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.