Healthcare Provider Details

I. General information

NPI: 1063368173
Provider Name (Legal Business Name): IOWA LUNA CARE PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5550 WILD ROSE LN STE 400
WEST DES MOINES IA
50266-5351
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: 650-227-9115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State

VIII. Authorized Official

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