Joyce Ellen Kelly-Luttkus

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

020608 Issued in NY

Practice address

480 Bedford Road
Chappaqua, NY 10514

Phone

(914) 984-2321

Fax

(914) 242-5124

NPI assigned

Feb 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ability Beyond DisabilityGroup PAC ID 1355366170, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ability Beyond Disability

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Chappaqua, NY
  • NPI 1629148259
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1063166403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 BEDFORD RD",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105141715",
            "telephone_number": "914-984-2321",
            "fax_number": "914-242-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 BEDFORD ROAD",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "10514",
            "telephone_number": "914-984-2321",
            "fax_number": "914-242-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY-LUTTKUS",
        "first_name": "JOYCE",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "020608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Johns, PT
• Stanley Kang, M.D.
• Bruce Kaplan, M.D.
• Neil B. Kavey, M.D
• Sandra R. Kellogg, LCSWR
• Mary Ellen Kelly, CCC-SLP
• Marlo Marie Klein, CCC-SLP
• Penny Ilona Knack, PH.D.
• William A Knack, PH.D.
• Claudia Joy Koblenz-Sulcov, PHD

• Occupational Therapist in Chappaqua, NY
• Providers in Chappaqua, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.