Active NPI
Gregory Thomas Lutz
- Physical Therapist
- Purcellville, VA
National Provider Identifier
1669048088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305207707
- Practice address
- 130 S 20TH St
Purcellville, VA 20132-3301 - Phone
- (571) 363-2753
- NPI assigned
- May 27, 2021
- Last updated
- May 27, 2021
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305207707 | VA | Primary |
Addresses
Primary practice location
130 S 20TH St
Purcellville, VA 20132-3301
Mailing address
1211 Featherstone LN NE
Leesburg, VA 20176-4915
Phone (412) 726-9253
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 |
|---|---|---|---|
| 2305207707 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1669048088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 FEATHERSTONE LN NE",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201764915",
"telephone_number": "412-726-9253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S 20TH ST",
"city": "PURCELLVILLE",
"state": "VA",
"postal_code": "201323301",
"telephone_number": "571-363-2753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "GREGORY",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-27",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305207707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Purcellville, VA
- Loudoun Medical Group, PC (DME)
- Loudoun Medical Group, PC (Loudoun Internal Medicine Associates)
- Loudoun Rheumatology Center, PC
- Debra Jo Loving, RPH
- Luna Sol Chiropractic, LLC
- Ashley Elizabeth Maffett
- Magnolia Psychological Services
- Jennifer L Maguire, M.D.
- Rochelle Maguire, FNP
- Faranak Mahjour, DDS, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.