Active NPI
Barbara Luz
- Physical Therapy Assistant
- Port Charlotte, FL
National Provider Identifier
1740735679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 26431
- Practice address
- 1481 Achilles St
Port Charlotte, FL 33980-1952 - Phone
- (786) 290-4272
- NPI assigned
- Aug 21, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-246384 | FL | |
| Physical Therapy Assistant | 225200000X | 26431 | FL | Primary |
Addresses
Primary practice location
1481 Achilles St
Port Charlotte, FL 33980-1952
Mailing address
1481 Achilles St
Port Charlotte, FL 33980-1952
Phone (786) 290-4272
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Miami | Health Information Exchange (HIE) | |
| SOAP URL | Miami | Health Information Exchange (HIE) | |
| SOAP URL | Miami | Health Information Exchange (HIE) | |
| CONNECT URL | Miami |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-246384 | FL | MD | Behavior Technician |
| 26431 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1740735679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1481 ACHILLES ST",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339801952",
"telephone_number": "786-290-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1481 ACHILLES ST",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339801952",
"telephone_number": "786-290-4272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUZ",
"first_name": "BARBARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-21",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-246384",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "26431",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Miami",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "11155 SW 154th Ct",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331964527",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Miami",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "11155 SW 154th Ct",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331964527",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Miami",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "11155 SW 154th Ct",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331964527",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Miami",
"affiliation": "N",
"address_1": "11155 SW 154th Ct",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331964527",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.