Active NPI
Heather Ann Lutkevich, MSOTRL
- Occupational Therapist
- Pittsfield, MA
National Provider Identifier
1114212016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8442
- Practice address
- 169 Valentine Rd
Pittsfield, MA 01201-3042 - Phone
- (413) 445-2300
- NPI assigned
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8442 | MA | Primary |
Addresses
Primary practice location
169 Valentine Rd
Pittsfield, MA 01201-3042
Mailing address
81 Hobart St
Apt. 3
Danvers, MA 01923-1960
Phone (781) 640-4692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1114212016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 HOBART ST",
"address_2": "APT. 3",
"city": "DANVERS",
"state": "MA",
"postal_code": "019231960",
"telephone_number": "781-640-4692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 VALENTINE RD",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012013042",
"telephone_number": "413-445-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTKEVICH",
"first_name": "HEATHER",
"middle_name": "ANN",
"credential": "MSOTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "8442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.