Nikki M Lutzow, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

070012259 Issued in IL

Practice address

525 Tyler Rd Ste Q1
Saint Charles, IL 60174-3360

Phone

(630) 444-0077

Fax

(630) 444-0078

NPI assigned

Jan 15, 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

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1376694455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 GRAND RIDGE RD",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601751074",
            "telephone_number": "630-443-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TYLER RD STE Q1",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601743360",
            "telephone_number": "630-444-0077",
            "fax_number": "630-444-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZOW",
        "first_name": "NIKKI",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": "070012259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Lowry, LSW
• Beverlee Ann Ludema, PSYD
• Dayza Malibiran Luluquisin, DPT
• Alison Lund, MSN, APRN, FNP-BC
• Stacey Nichole Lusk, MT-BC, DT
• Luxottica of America Inc
• Luxottica Retail North America Inc
• Alexa Rae Lyons
• Angella Macdonald, LMFT
• Virginia P Madla, MD

• Pediatric Physical Therapist in Saint Charles, IL
• Providers in Saint Charles, IL by specialty
• Pediatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.