Judi A. Luttieri, DPT
Individual provider Active NPI Physical Therapist · Garden City, NY
NPI 1760633598 · NPPES record last updated Mar 10, 2011
Key facts
- NPI
- 1760633598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 017538 (NY)
- Practice address
- 711 Stewart Ave
Garden City, NY 11530-4731 - Phone
- (516) 222-8654
- Fax
- (516) 745-5476
- NPI assigned
- Oct 10, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Home Advantage Physical Therapy PC
Practice addresses (Care Compare)
3941 Bea CT
Oceanside, NY 11572-5907
Phone (516) 459-9439
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081209000441 | NY | Practitioner - Physical Therapist in Private Practice | 9537220595 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017538 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Advantage Physical Therapy PC | Physical Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 017538 | NY | Yes |
Addresses
Primary practice location
711 Stewart Ave
Garden City, NY 11530-4731
Mailing address
975 Stewart Ave
Garden City, NY 11530-4816
Phone (516) 222-8654
Other providers in Garden City, NY
- Denyse Lucero Beauzil
- Frederick N Lukash
- Jeffrey H Lumerman
- Richard Scott Lustberg
- Elizabeth S. Lustrin
- Luxottica of America Inc
- Luxottica of America Inc.
- Luxottica of America Inc.
- Luxxe Medspa Inc
- Luz M Alvarez MD PC
All providers in Garden City, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.