Organization Active NPI

Neuro Lab PLLC

Doing business as Neuro Lab Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Spokane, WA
National Provider Identifier
1306676788
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NEURO LAB PLLC
Doing business as
Neuro Lab Physical Therapy & Wellness
Practice address
513 E Hastings Rd Ste B
Spokane, WA 99218-1963
Phone
(509) 570-6761
NPI assigned
Aug 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Julie Ann Luna, PT, DPT, NCSNPI 1932778685
Title
Owner, Managing Member
Phone
(509) 570-6761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

513 E Hastings Rd Ste B
Spokane, WA 99218-1963

Mailing address

513 E Hastings Rd Ste B
Spokane, WA 99218-1963
Phone (509) 570-6761

Other names 1

  • Neuro Lab Physical Therapy & Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241212003708 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3274069380 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Locations

513 E Hastings Rd
Ste B
Spokane, WA 99218
Phone (509) 570-6761

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1306676788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 E HASTINGS RD STE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181963",
            "telephone_number": "509-570-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 E HASTINGS RD STE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181963",
            "telephone_number": "509-570-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO LAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "JULIE ANN",
        "authorized_official_title_or_position": "OWNER, MANAGING MEMBER",
        "authorized_official_telephone_number": "509-570-6761",
        "authorized_official_credential": "PT, DPT, NCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuro Lab Physical Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.