Active NPI
Lisa Anne Luttrull, DPT
- Physical Therapist
- Ludington, MI
National Provider Identifier
1427287952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501012450
- Practice address
- 2130 W US Highway 10
Ludington, MI 49431-8319 - Phone
- (231) 757-3716
- NPI assigned
- Jul 6, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501012450 | MI | Primary |
Addresses
Primary practice location
2130 W US Highway 10
Ludington, MI 49431-8319
Mailing address
2130 W US Highway 10
Ludington, MI 49431-8319
Phone (231) 757-3716
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 |
|---|---|---|---|
| 5501012450 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Shore Educational Service District | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Ludington, MI
- NPI 1750315131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278115200000",
"number": "1427287952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 W US HIGHWAY 10",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494318319",
"telephone_number": "231-757-3716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 W US HIGHWAY 10",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494318319",
"telephone_number": "231-757-3716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTTRULL",
"first_name": "LISA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-06",
"last_updated": "2010-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501012450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ludington, MI
- Ludington Family Dental PLLC
- Ludington Opco, LLC (Medilodge of Ludington)
- Ludington Woods Retirement Village
- Ludington Woods Retirement Village (Ludington Woods Retirement Village - Laboratory)
- Michael E Luttropp Jr., M.D.
- Ted J Lutz, HEARING AID DEALER
- Courtney Madsen, RN
- Stephen Joseph Manuszak, M.D.
- Kay Lynn Marble, LMSW, ACSW, CAC-R
- Marc E Keen, M.D. P.C. (Pathology Services of West Mi)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.