Jennifer Marie Luster-Bartz, M.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05008362A Issued in IN

Practice address

1628 W Beardsley Ave
Elkhart, IN 46514-1881

Phone

(574) 293-9420

NPI assigned

Aug 1, 2007

Last updated

Aug 20, 2007By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KRNS Inc

  dba Taylor Physical Therapy

  • Physical Therapy Clinic/Center
  • Elkhart, IN
  • NPI 1700973914
  NPD (past)

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1518157940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 W BEARDSLEY AVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141881",
            "telephone_number": "574-293-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 W BEARDSLEY AVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141881",
            "telephone_number": "574-293-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTER-BARTZ",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008362A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela G Lucterhand, D.C.
• Scott E Ludwig, MD
• Blake Alan Luebbehusen, MSN, RN, NP-C
• Cing Lun
• Sarah Lusk
• Luxottica Retail North America Inc (Sears Optical #0173)
• Alyssa Lynch
• Hannah Lyon
• Daniel Maas, MD
• Jermaine Mack

• Physical Therapist in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.