Individual provider Active NPI

Emiangeliz Gonzalez Luna, DPT

  • Physical Therapist
  • Clermont, FL
National Provider Identifier
1336759042
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36113 Issued in FL
Practice address
627 8TH St
Clermont, FL 34711-2159
Phone
(352) 243-9341
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT36113 FL Primary

Addresses

Primary practice location

627 8TH St
Clermont, FL 34711-2159

Mailing address

1237 Lake Baldwin LN Unit 302
Orlando, FL 32814-6810
Phone (407) 914-1849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT36113FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
FCHR PA Physical Therapist CurrentSince May 25, 2021 Accepting new patients
Mobility Rehabilitation Inc. Physical Therapist CurrentSince May 25, 2021 Accepting new patients
Physiotherapy Works LLC Physical Therapist PastSince Aug 11, 2020 Accepting new patients

Locations

627 8th St
Clermont, FL 34711
Phone (352) 243-4422

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1336759042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 LAKE BALDWIN LN UNIT 302",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146810",
            "telephone_number": "407-914-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 8TH ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112159",
            "telephone_number": "352-243-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ LUNA",
        "first_name": "EMIANGELIZ",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.