Eric L Luttig, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018216 Issued in MI

Practice address

1507 Waterford Pkwy
Saint Johns, MI 48879

Phone

(989) 227-5404

Fax

(989) 227-5415

NPI assigned

Jun 8, 2017

Sex

Male

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier RehabilitationGroup PAC ID 5698094795, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Premier Rehabilitation

  • Physical Therapist
  • Holt, MI
  • NPI 1306244066
  Medicare reassignment Care Compare group NPD
• K 13 Physical Therapy & Sports Medicine PC

  • Physical Therapist
  • Saint Johns, MI
  • NPI 1861405581
  Medicare reassignment NPD
• Peak Performance Physical Therapy, PLC

  • Physical Therapist
  • Lansing, MI
  • NPI 1134428642
  Medicare reassignment NPD
• Ryan and Monica Wohlfert, PC

  • Chiropractor
  • Lansing, MI
  • NPI 1952478125
  NPD

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1538698014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 WATERFORD PKWY",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799630",
            "telephone_number": "989-227-5404",
            "fax_number": "989-227-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 WATERFORD PKWY",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "48879",
            "telephone_number": "989-227-5404",
            "fax_number": "989-227-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTTIG",
        "first_name": "ERIC",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy Ann Levand, PA-C
• Polly A Lilleboe, MD
• Megan Ling
• Maria Livieratos, MD
• Mary Luchies, PHD, LP
• John S Macdonald, MD
• Vanessa Lee Mann, DNP, FNP-BC
• Dawn Marie Martin, NP
• Danielle Rose Martinez, FNP
• Rodger Wesley Massa, DC

• Physical Therapist in Saint Johns, MI
• Providers in Saint Johns, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.