Active NPI
Susan Elizabeth Luna, PT, MS
- Physical Therapist
- Pearland, TX
National Provider Identifier
1588148910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1116705
- Practice address
- 6059 Broadway St
Pearland, TX 77581-7827 - Phone
- (409) 771-6903
- Fax
- (866) 249-8575
- NPI assigned
- Sep 21, 2018
- Last updated
- Mar 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1116705 | TX | Primary |
Addresses
Primary practice location
6059 Broadway St
Pearland, TX 77581-7827
Mailing address
2704 Maple LN
Pearland, TX 77584-1074
Phone (409) 771-6903
Other practice location 1
337 Sheri Ln
Lake Jackson, TX 77566-3269
Phone (281) 229-0263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1116705 | Other | TX | PHYISCAL THERAPY LICENSE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1116705 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1588148910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2704 MAPLE LN",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775841074",
"telephone_number": "409-771-6903",
"fax_number": "866-249-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6059 BROADWAY ST",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775817827",
"telephone_number": "409-771-6903",
"fax_number": "866-249-8575"
}
],
"practiceLocations": [
{
"address_1": "337 Sheri Ln",
"address_purpose": "LOCATION",
"city": "Lake Jackson",
"state": "TX",
"postal_code": "775663269",
"country_code": "US",
"telephone_number": "281-229-0263",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUNA",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "PT, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-21",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1116705",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYISCAL THERAPY LICENSE",
"identifier": "1116705",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
- Greta Matson Ludwig, PT
- Jannette Lujan
- Lula's Place Adult Day Facility, LLC
- Lumina Therapy and Wellness
- Samantha Elise Luna
- Luoman Home Health Care Inc
- Michelle S Luse
- Thuy Tien Nguyen Luu, PHARMD
- Luxottica of America Inc. (Lenscrafters #5231)
- Luxottica Retail North America Inc (Target Optical #4309)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.