Individual provider Active NPI

Grace Luttrull, LCAT, BC-DMT

  • Dance Therapist
  • Mount Kisco, NY
National Provider Identifier
1881563492
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dance TherapistTaxonomy code 225600000X
License
003106 Issued in NY
Practice address
301 E Main St FL 2
Mount Kisco, NY 10549-3003
Phone
(917) 736-6391
NPI assigned
Nov 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dance Therapist 225600000X 003106 NY Primary

Addresses

Primary practice location

301 E Main St FL 2
Mount Kisco, NY 10549-3003

Mailing address

301 E Main St FL 2
Mount Kisco, NY 10549-3003
Phone (917) 736-6391

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": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1881563492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E MAIN ST FL 2",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493003",
            "telephone_number": "917-736-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MAIN ST FL 2",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493003",
            "telephone_number": "917-736-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTTRULL",
        "first_name": "GRACE",
        "credential": "LCAT, BC-DMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "NY",
            "license": "003106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.