Active NPI
Ivette Del Carmen Lutz, PT
- Physical Therapist
- Long Beach, CA
National Provider Identifier
1659482776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15722
- Practice address
- 5901 E 7TH St # 117P
Long Beach, CA 90822-5201 - Phone
- (562) 826-5555
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15722 | CA | Primary |
Addresses
Primary practice location
5901 E 7TH St # 117P
Long Beach, CA 90822-5201
Mailing address
5901 E Seventh St. 117P
Long Beach, CA 90822
Phone (562) 826-5555
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233187200000",
"number": "1659482776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 E SEVENTH ST. 117P",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90822",
"telephone_number": "562-826-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 E 7TH ST # 117P",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908225201",
"telephone_number": "562-826-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "IVETTE",
"middle_name": "DEL CARMEN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2009-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "15722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.