Nevada Luna Care Physical Therapy LLC

Organization Active NPI Physical Therapist · Las Vegas, NV

NPI 1457087009 · NPPES record last updated Aug 7, 2026

Key facts

NPI
1457087009
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
NEVADA LUNA CARE PHYSICAL THERAPY LLC
Practice address
5940 S Rainbow Blvd
Las Vegas, NV 89118-2540
Phone
(866) 525-3175
Fax
(650) 227-9115
NPI assigned
Jul 26, 2022
Organization subpart
No

Authorized official

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

Practitioners 72

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

View all 72

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NV

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220831001956 NV Part B Supplier - Clinic/Group Practice 6901280510 Receives reassigned benefits from 67 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
225100000X Yes
Occupational Therapist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
225X00000X
Speech-Language Pathologist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
235Z00000X

Addresses

Primary practice location

5940 S Rainbow Blvd
Las Vegas, NV 89118-2540

Mailing address

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 7, 2026.

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1457087009",
    "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": "5940 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182540",
            "telephone_number": "866-525-3175",
            "fax_number": "650-227-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA LUNA CARE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "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": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

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Sources for this page

Verify at the official NPI Registry.