Individual provider Active NPI

Kristen Jean Lutzel, OTR/L

  • Occupational Therapist
  • Naples, FL
National Provider Identifier
1902170079
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
01371 Issued in RI
Practice address
1670 Windy Pines Dr
Unit 3
Naples, FL 34112-7584
Phone
(239) 774-1257
NPI assigned
Mar 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT13871 FL
Occupational Therapist 225X00000X 003891 CT
Occupational Therapist 225X00000X 01371 RI Primary

Addresses

Primary practice location

1670 Windy Pines Dr
Unit 3
Naples, FL 34112-7584

Mailing address

1670 Windy Pines Dr
Unit 3
Naples, FL 34112-7584
Phone (239) 774-1257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220405000170 RI Practitioner - Occupational Therapist in Private Practice 4486040219 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT13871FLMDOccupational Therapist
01371RIMDOccupational Therapist
003891CTMDFamily Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1902170079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 WINDY PINES DR",
            "address_2": "UNIT 3",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341127584",
            "telephone_number": "239-774-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 WINDY PINES DR",
            "address_2": "UNIT 3",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341127584",
            "telephone_number": "239-774-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZEL",
        "first_name": "KRISTEN",
        "middle_name": "JEAN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13871",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "003891",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "01371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.