Luna Lymphatic Care

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LUNA LYMPHATIC CARE

Practice address

3104 Bridgeboro Rd Ste B
Delran, NJ 08075-9716

Phone

(856) 910-8089

NPI assigned

Oct 18, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Lynn Davis, MPTNPI 1215163266

Title

Owner/ Physical Therapist

Phone

(609) 707-5655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Lynn C Davis, PT

  • Physical Therapist
  • Delran, NJ
  • NPI 1215163266
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1992468839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E CEDAR AVE",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092502",
            "telephone_number": "609-707-5655",
            "fax_number": "856-910-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 BRIDGEBORO RD STE B",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080759716",
            "telephone_number": "856-910-8089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Kings Hwy N Ste A",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080341013",
            "country_code": "US",
            "telephone_number": "856-910-8089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUNA LYMPHATIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "609-707-5655",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kinal
• Roberta Lanzetta, COTA
• William Lebak II
• Tracy Lee
• Matthew Lichtenstein
• Luxottica of America Inc
• Sandra Lynch
• Kristen Marie Lyons, PHARM.D.
• Aj Ma, PHARMD, RPH
• Sylvia Machalany

• Physical Therapist in Delran, NJ
• Providers in Delran, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.