Kristin Lutz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

001284 Issued in IA

Practice address

502 N 9TH Ave
Vinton, IA 52349-2254

Phone

(319) 472-6200

NPI assigned

Nov 2, 2022

Last updated

Nov 2, 2022By the provider in NPPES

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

Other names 1

• Kristin McKinley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1154038784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5389 20TH AVE",
            "city": "MOUNT AUBURN",
            "state": "IA",
            "postal_code": "523139650",
            "telephone_number": "319-721-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N 9TH AVE",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523492254",
            "telephone_number": "319-472-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "KRISTIN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "001284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "MCKINLEY",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gene R Lariviere, M.D.
• Monica Leborious, MA, CCC-SLP
• Brendan Dean Leiran, PA-C
• Lutheran Home for the Aged Association-East (Lutheran Home Health Agency)
• Lutheran Home for the Aged Association-East (Vinton Lutheran Home)
• Wesley Corliss Lyons, PA-C
• Margaret K Mangold, M.D.
• Lisa Ann Marter, OTR/L
• Martin Eye Clinic Inc (Martin Eye Clinic)
• Michael G Martin, OD

• Physical Therapy Assistant in Vinton, IA
• Providers in Vinton, IA by specialty
• Physical Therapy Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.