Individual provider Active NPI

Rosalinda Luna-Diaz, PTA

  • Physical Therapy Assistant
  • Roma, TX
National Provider Identifier
1346721529
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2009072 Issued in TX
Practice address
630 E Bravo Blvd Ste 2
Roma, TX 78584-5721
Phone
(956) 847-4424
NPI assigned
Aug 24, 2018
Last updated
Aug 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2009072 TX Primary

Addresses

Primary practice location

630 E Bravo Blvd Ste 2
Roma, TX 78584-5721

Mailing address

500 Lindberg Ave
McAllen, TX 78501-2924
Phone (956) 687-4559

Other identifiers 1

IdentifierTypeStateIssuer
2009072OtherTXECTOPE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2009072TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Therapeutics - Roma, P.L.L.C. PastSince Oct 1, 2012 Accepting new patients
Performance Therapeutics - Roma PLLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1346721529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LINDBERG AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012924",
            "telephone_number": "956-687-4559",
            "fax_number": "956-687-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E BRAVO BLVD STE 2",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785845721",
            "telephone_number": "956-847-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA-DIAZ",
        "first_name": "ROSALINDA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2009072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECTOPE",
            "identifier": "2009072",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roma, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.