Ella Clare Lutz McMurtry, OTR/L

Key facts

NPI

1033769088

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapist 225X00000X

License

244909 (KY)

Practice address

308 W Maple Ave
Lancaster, KY 40444-1005

Phone

(859) 792-6844

NPI assigned

Sep 11, 2019

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16352/brand/1/csg/1/fhir/r4

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 11, 2019.

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1033769088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 KEMPER LN",
            "city": "LANCASTER",
            "state": "KY",
            "postal_code": "404448042",
            "telephone_number": "859-374-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W MAPLE AVE",
            "city": "LANCASTER",
            "state": "KY",
            "postal_code": "404441005",
            "telephone_number": "859-792-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ MCMURTRY",
        "first_name": "ELLA",
        "middle_name": "CLARE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "244909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Lancaster, KY · Occupational Therapist in Kentucky