Susan Nara Lutz, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501002832 Issued in MI

Practice address

540 Depot St
Hancock, MI 49930-2031

Phone

(906) 482-7382

Fax

(906) 482-9410

NPI assigned

May 24, 2007

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

• Susan Nara Smith 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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366653446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E BARAGA AVE",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499312000",
            "telephone_number": "906-483-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 DEPOT ST",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499302031",
            "telephone_number": "906-482-7382",
            "fax_number": "906-482-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "SUSAN",
        "middle_name": "NARA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501002832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SMITH",
            "middle_name": "NARA",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Liston, DO
• Dong Liu, MD
• Deborah R Lorenz
• Gina Maria Louis-Mercier, M.D.
• Kirk C Lufkin, MD
• Paul A Lyle, M.D.
• Tammy Jean Magaraggia
• Stacy Maijala
• Raymond S Majkrzak, M.D.
• Mercedes A Maki, PA

• Physical Therapist in Hancock, MI
• Providers in Hancock, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.