Active NPI
Sara R Lutz, OT
- Occupational Therapist
- Hudson, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8569
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WI
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.79 of 100
- Quality
- 95.08
- Improvement activities
- 40
- Cost
- 81.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8569 | WI | MD | Clinical Social Worker |
| 1070 | SD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| Hand Therapy of Wyoming LLC | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| Hand Therapy of Wyoming LLC | Occupational Therapist | Current | 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.
-
- Occupational Therapist
- Gillette, WY
- NPI 1083155972
-
- Durable Medical Equipment & Medical Supplies
- Hudson, WI
- NPI 1568840916
-
- Durable Medical Equipment & Medical Supplies
- Buffalo, WY
- NPI 1366034688
-
- Durable Medical Equipment & Medical Supplies
- River Falls, WI
- NPI 1144608589
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.