Active NPI
Jordan Taylor Lutz, OTR
- Occupational Therapist
- Toledo, OH
National Provider Identifier
1558859678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 010062
- Practice address
- 2735 Darlington Rd
Toledo, OH 43606-3206 - Phone
- (419) 531-4465
- NPI assigned
- Apr 24, 2018
- Last updated
- Apr 24, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 010062 | OH | Primary |
Addresses
Primary practice location
2735 Darlington Rd
Toledo, OH 43606-3206
Mailing address
3747 Drummond Rd
Toledo, OH 43613-4717
Phone (419) 490-5366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010062 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1558859678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3747 DRUMMOND RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436134717",
"telephone_number": "419-490-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2735 DARLINGTON RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063206",
"telephone_number": "419-531-4465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "JORDAN",
"middle_name": "TAYLOR",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-24",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "010062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
- Lutheran Social Services
- Lutheran Social Services of Northwestern Ohio
- Lutheran Social Services of Northwestern Ohio
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- Cheryl Lutz
- Megan Lutz, MD
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.