Active NPI
Clarence B. Luna, RPT
- Physical Therapist
- Bronx, NY
National Provider Identifier
1518043983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 022433-1
- Practice address
- 817 E 180TH St
Bronx, NY 10460-1305 - Phone
- (718) 355-9652
- NPI assigned
- Oct 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 022433-1 | NY | Primary |
Addresses
Primary practice location
817 E 180TH St
Bronx, NY 10460-1305
Mailing address
18007 90TH Ave
Apt 1
Jamaica, NY 11432-4703
Phone (347) 353-0299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
817 E 180TH St
Bronx, NY 10460-1305
Phone (718) 355-9652
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022433-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Therapy PT Physical and Occupational Therapy LLC | Current | Accepting new patients |
Locations
799 Morris Park Ave
Bronx, NY 10462
Phone (718) 684-6300
817 E 180th St
Bronx, NY 10460
Phone (718) 220-8300
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 1
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.
-
- Geriatric Physical Therapist
- Bronx, NY
- NPI 1275884348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1518043983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18007 90TH AVE",
"address_2": "APT 1",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114324703",
"telephone_number": "347-353-0299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 E 180TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104601305",
"telephone_number": "718-355-9652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNA",
"first_name": "CLARENCE",
"middle_name": "B.",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-28",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "022433-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.