Individual provider Active NPI

Sara R Lutz, OT

  • Occupational Therapist
  • Hudson, WI
National Provider Identifier
1487063871
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8569 Issued in WI
Practice address
2651 Hillcrest Dr Ste 101
Hudson, WI 54016-9919
Phone
(800) 423-1088
Fax
(651) 275-2795
NPI assigned
Aug 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 8569 WI Primary
Occupational Therapist 225X00000X 107403 MN
Occupational Therapist 225X00000X 1070 SD

Addresses

Primary practice location

2651 Hillcrest Dr Ste 101
Hudson, WI 54016-9919

Mailing address

3500 American Blvd W
Bloomington, MN 55431-1068
Phone (952) 512-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190607002600 WY Practitioner - Occupational Therapist in Private Practice 3072846989 Reassigns benefits to 1 organization
I20240411000780 WI Practitioner - Occupational Therapist in Private Practice 3072846989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
95.08
Improvement activities
40
Cost
81.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8569WIMDClinical Social Worker
1070SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA CurrentSince Apr 1, 2024 Accepting new patients
Hand Therapy of Wyoming LLC CurrentSince May 1, 2019 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Apr 1, 2024 Accepting new patients
Hand Therapy of Wyoming LLC Occupational Therapist CurrentSince May 1, 2019 Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients

Locations

3500 American Blvd W
Ste 300
Minneapolis, MN 55431
Phone (952) 512-5600

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

4040 Radio Dr
Woodbury, MN 55129
Phone (514) 398-8076

2651 Hillcrest Dr
Ste 101
Hudson, WI 54016
Phone (800) 423-1088

2211 Vine St
Hudson, WI 54016
Phone (715) 386-1155

1211 S Douglas Hwy
Ste 100
Gillette, WY 82716
Phone (307) 228-1005

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1487063871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 AMERICAN BLVD W",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311068",
            "telephone_number": "952-512-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 HILLCREST DR STE 101",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169919",
            "telephone_number": "800-423-1088",
            "fax_number": "651-275-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "SARA",
        "middle_name": "R",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "8569",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "107403",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "1070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.