Michele Marleen Luczywo-Grunert, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

000286 Issued in OH

Practice address

2500 Brady Lake Rd
Ravenna, OH 44266-1610

Phone

(330) 678-2400

Fax

(330) 673-3714

NPI assigned

Jun 30, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912936287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 GREEN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285270",
            "telephone_number": "216-288-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BRADY LAKE RD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442661610",
            "telephone_number": "330-678-2400",
            "fax_number": "330-673-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCZYWO-GRUNERT",
        "first_name": "MICHELE",
        "middle_name": "MARLEEN",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "000286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Jeanne Loughry
• Danyelle Love
• Martha Lovejoy IV
• Leslie J Lucas, OTR L
• Lisa Luchka
• Rosanna Lugenbeal, CRNA
• Elisa Lusk, RN
• Deana M Lutz, SWT
• Lisa Lutz, LPCC-S
• Susan Lyden, CRNA

• Physical Therapy Assistant in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.