Healthcare Provider Details

I. General information

NPI: 1437730504
Provider Name (Legal Business Name): KANSAS LUNA CARE PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2021
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 CENTURY BLVD STE 300
NASHVILLE TN
37214-3692
US

IV. Provider business mailing address

PO BOX 290609
NASHVILLE TN
37229-0609
US

V. Phone/Fax

Practice location:
  • Phone: 866-525-3175
  • Fax: 650-227-9115
Mailing address:
  • Phone: 866-525-3175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: LILY ANN BELTRAN
Title or Position: PRESIDENT
Credential:
Phone: 949-291-4421