Carl Luth, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012656 Issued in CT

Practice address

400 Boston Post Rd
Orange, CT 06477-3545

Phone

(203) 799-3433

NPI assigned

Jun 30, 2020

Sex

Male

Sole proprietor

No

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

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prolete Physical Therapy and Sports Medicine PCGroup PAC ID 7113237504, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prolete Physical Therapy & Sports Medicine PC

  • Physical Therapist
  • Milford, CT
  • NPI 1770952608
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1699392191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MIDWOOD RD",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064606634",
            "telephone_number": "203-815-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773545",
            "telephone_number": "203-799-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTH",
        "first_name": "CARL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "012656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lovemamadoula LLC
• Shannon Lowder, RPH
• Angela Marie Luca
• Lung Docs of CT PC
• Sarah Yunan Lung, OD
• Maura Lynch, APRN
• Jacob Thomas Maher, MD
• John D Mainwaring, DDS
• Christiane J. Maiorana, LMFT
• Maplewood at Orange

• Physical Therapist in Orange, CT
• Providers in Orange, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.