Active NPI
John Seraphim Luna, OTR
- Occupational Therapist
- McAllen, TX
National Provider Identifier
1851466700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 110825
- Practice address
- 1900 South Jackson
Ste 2 & 3
McAllen, TX 78503 - Phone
- (956) 630-4400
- Fax
- (956) 630-4447
- NPI assigned
- Nov 22, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 110825 | TX | |
| Occupational Therapist | 225X00000X | 110825 | TX | Primary |
Addresses
Primary practice location
1900 South Jackson
Ste 2 & 3
McAllen, TX 78503
Mailing address
1900 South Jackson
Ste 2 & 3
McAllen, TX 78503
Phone (956) 630-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143404501 | Medicaid | TX |
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 |
|---|---|---|---|
| 110825 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245628800000",
"number": "1851466700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 SOUTH JACKSON",
"address_2": "STE 2 & 3",
"city": "MCALLEN",
"state": "TX",
"postal_code": "78503",
"telephone_number": "956-630-4400",
"fax_number": "956-630-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 SOUTH JACKSON",
"address_2": "STE 2 & 3",
"city": "MCALLEN",
"state": "TX",
"postal_code": "78503",
"telephone_number": "956-630-4400",
"fax_number": "956-630-4447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNA",
"first_name": "JOHN",
"middle_name": "SERAPHIM",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2009-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "110825",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "110825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143404501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.