MEDICARE: LUNA LUFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	PTA002262	GA

General Provider Information

NPI Number	:	1912864356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUNA LUFT

Provider Business Mailing Address
First Line	:	1860 ATKINSON RD
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30043-5065
Country	:	US
Telephone Number	:	770-626-5890
Fax Number	:

Provider Business Practice Location Address
First Line	:	1860 ATKINSON RD
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30043-5065
Country	:	US
Telephone Number	:	770-626-5890
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

Similar Medicare Providers

1386189231 — SHININGSTARRS HOME CARE LLC
Practice Location Address:

1880 BRASELTON HWY , SUITE 118 #5065
LAWRENCEVILLE, GA
30043-2852

Practice Phone: 678-404-6659
Practice Fax: 678-804-1852

1366105892 — JULIA DANIELLE WALLACE OTR/L
Practice Location Address:

1860 ATKINSON RD
LAWRENCEVILLE, GA
30043-5065

Practice Phone: 706-948-2773
Practice Fax:

1790497386 — JENY ELSA ABRAHAM
Practice Location Address:

1860 ATKINSON RD
LAWRENCEVILLE, GA
30043-5065

Practice Phone: 706-948-2773
Practice Fax:

1194545053 — RWW SENIOR LIVING OUTPATIENT REHAB SERVICES, LLC
Practice Location Address:

1860 ATKINSON RD
LAWRENCEVILLE, GA
30043-5065

Practice Phone: 866-808-4133
Practice Fax: 866-849-2728

1730714197 — GIORVANIE FLEURME ARNP
Practice Location Address:

5710 SUGARLOAF PKWY
LAWRENCEVILLE, GA
30043-7834

Practice Phone: 305-992-3791
Practice Fax:

1083571707 — NOLLAH LYLES
Practice Location Address:

2387 HUNTCREST WAY
LAWRENCEVILLE, GA
30043-8126

Practice Phone: 678-648-7644
Practice Fax:

Directions to “ LUNA LUFT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.