Active NPI
Scott A. Lutz, PT
- Orthopedic Physical Therapist
- Southport, NC
National Provider Identifier
1386821353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- A3380
- Practice address
- 902 North Howe Street
Southport, NC 28461-3038 - Phone
- (910) 457-4789
- Fax
- (910) 457-5824
- NPI assigned
- Jan 22, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | A3380 | NC | Primary |
Addresses
Primary practice location
902 North Howe Street
Southport, NC 28461-3038
Mailing address
902 North Howe Street
Southport, NC 28461-3038
Phone (910) 457-4789
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A3380 | NC | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1386821353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 NORTH HOWE STREET",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284613038",
"telephone_number": "910-457-4789",
"fax_number": "910-457-5824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 NORTH HOWE STREET",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284613038",
"telephone_number": "910-457-4789",
"fax_number": "910-457-5824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "SCOTT",
"middle_name": "A.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "A3380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southport, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.