NPIMap

Organization Active NPI

Luna Physical Therapy

  • Physical Therapist
  • Carlsbad, CA
National Provider Identifier
1790203420
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293009 Issued in CA
Legal business name
LUNA PHYSICAL THERAPY
Practice address
7523 Solano St
Carlsbad, CA 92009-7529
Phone
(202) 525-0599
NPI assigned
Sep 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jaime A Goldman, DPTNPI 1912448507
Title
President/ Ceo
Phone
(202) 525-0599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 293009 CA Primary

Addresses

Primary practice location

7523 Solano St
Carlsbad, CA 92009-7529

Mailing address

7523 Solano St
Carlsbad, CA 92009-7529
Phone (202) 525-0599

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790203420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7523 SOLANO ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920097529",
            "telephone_number": "202-525-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7523 SOLANO ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920097529",
            "telephone_number": "202-525-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "202-525-0599",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.