Edward W. Lutz

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6185 Issued in NY

Practice address

880 S Lake Blvd
Mahopac, NY 10541-4771

Phone

(845) 628-5578

Fax

(845) 628-1654

NPI assigned

Mar 22, 2007

Last updated

Aug 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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.

• Mahopac Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • Mahopac, NY
  • NPI 1689790479
  Authorized official Same address or phone

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1548386352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105410940",
            "telephone_number": "845-628-5578",
            "fax_number": "845-628-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S LAKE BLVD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414771",
            "telephone_number": "845-628-5578",
            "fax_number": "845-628-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "EDWARD",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "6185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Looby, M.S., P.T. , CLT
• Stephanie Lopez
• Lauren Lotocky
• Stephanie Lotti, OTR/L
• Christine A Lubbers, LPN
• Meagan Lyons
• Mahopac Car Service, Inc.
• Mahopac Central School District
• Mahopac CSD
• Mahopac Eyewear Inc.

• Physical Therapist in Mahopac, NY
• Providers in Mahopac, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.