Active NPI
Soila Diana Luna, COTA
- Occupational Therapy Assistant
- Port St Lucie, FL
National Provider Identifier
1891020772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA10827
- Practice address
- 7300 Oleander Ave
Port St Lucie, FL 34952 - Phone
- (772) 466-4100
- NPI assigned
- Oct 9, 2009
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA10827 | FL | Primary |
Addresses
Primary practice location
7300 Oleander Ave
Port St Lucie, FL 34952
Mailing address
70 Sonrise PL
Apt 201
Fellsmere, FL 32948
Phone (772) 321-1806
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 |
|---|---|---|---|
| OTA10827 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255046400000",
"number": "1891020772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 SONRISE PL",
"address_2": "APT 201",
"city": "FELLSMERE",
"state": "FL",
"postal_code": "32948",
"telephone_number": "772-321-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 OLEANDER AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "34952",
"telephone_number": "772-466-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNA",
"first_name": "SOILA",
"middle_name": "DIANA",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-09",
"last_updated": "2009-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA10827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.