Individual provider Active NPI

Michelle Evelyn Luthman

  • Physical Therapist
  • Saint Henry, OH
National Provider Identifier
1578887469
Registry record updated Mar 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6139 Issued in OH
Practice address
522 Western Ave
Saint Henry, OH 45883-9777
Phone
(419) 678-9800
NPI assigned
Mar 21, 2010
Last updated
Mar 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT6139 OH Primary

Addresses

Primary practice location

522 Western Ave
Saint Henry, OH 45883-9777

Mailing address

4860 Buschor Rd
Coldwater, OH 45828-9703
Phone (419) 678-1021

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

LicenseStateTypeSpecialty
PT6139OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1269129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269129600000",
    "number": "1578887469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 BUSCHOR RD",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458289703",
            "telephone_number": "419-678-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 WESTERN AVE",
            "city": "SAINT HENRY",
            "state": "OH",
            "postal_code": "458839777",
            "telephone_number": "419-678-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTHMAN",
        "first_name": "MICHELLE",
        "middle_name": "EVELYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-21",
        "last_updated": "2010-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT6139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Henry, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2010; 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.