Clint James Lutterman, DPT
Individual provider Active NPI Physical Therapist · Perry, IA
NPI 1073570040 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1073570040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 03260 (IA)
- Practice address
- 610 10TH St
Perry, IA 50220 - Phone
- (515) 465-7672
- Fax
- (515) 465-7655
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 03260 | IA | Yes |
Addresses
Primary practice location
610 10TH St
Perry, IA 50220
Mailing address
PO Box 461
Nevada, IA 50201-0461
Phone (515) 382-3366
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03757 | Other | BCBS INDIANA | |
| 42610 | Other | GR MADRID | |
| 42611 | Other | BCBS ALT |
Other providers in Perry, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.