Individual provider Active NPI

Lois Luetmer, P.T.

  • Physical Therapist
  • Pasadena, CA
National Provider Identifier
1932284577
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32637 Issued in CA
Practice address
1017 S Fair Oaks Ave
Pasadena, CA 91105-2621
Phone
(626) 403-6200
Fax
(626) 403-2580
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Algos Inc a Medical Corporation 24 clinicians

Practice addresses (Care Compare)

1017 S Fair Oaks Ave
Pasadena, CA 91105-2621
Phone (626) 403-6200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061212000670 CA Practitioner - Physical Therapist in Private Practice 3678572054 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT32637CAMDPhysical Therapist

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
Body Synergy Physical Therapy, Inc. Physical Therapist CurrentSince Dec 1, 2019 Accepting new patients
Algos Inc., a Medical Corporation Physical Therapist CurrentSince Nov 1, 2016 Accepting new patients
Algos Inc., a Medical Corporation Physical Therapist CurrentSince Nov 1, 2016 Accepting new patients
Algos Inc., a Medical Corporation Physical Therapist Past Accepting new patients
Lakeside Medical Organization, a Medical Group Inc. Physical Therapy Past Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Physical Therapy Past Accepting new patients

Locations

440 E Huntington Dr
Ste 104
Arcadia, CA 91006
Phone (626) 445-4222

830 S Citrus Ave
Ste 203
Azusa, CA 91702
Phone (626) 339-6514

13193 Central Ave
Ste 220
Chino, CA 91710
Phone (909) 591-0843

891 Kuhn Dr
Ste 106
Chula Vista, CA 91914
Phone (619) 761-5308

1127 Wilshire Blvd
Ste 800
Los Angeles, CA 90017
Phone (213) 241-7250

600 S Lake Ave
Ste 306
Pasadena, CA 91106
Phone (626) 356-4948

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

567 W Putnam Ave
Ste 2
Porterville, CA 93257
Phone (559) 334-6737

10565 Civic Center Dr
Rancho Cucamonga, CA 91730
Phone (909) 527-3585

10565 Civic Center Dr
Ste 250
Rancho Cucamonga, CA 91730
Phone (909) 493-3800

10565 Civic Center Dr
Ste 165
Rch Cucamonga, CA 91730
Phone (888) 824-2144

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT32637 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

1017 S Fair Oaks Ave
Pasadena, CA 91105-2621

Mailing address

1017 S Fair Oaks Ave
Pasadena, CA 91105-2621
Phone (626) 403-6200

Other practice location 1

1744 E Boston St Ste 101
Gilbert, AZ 85295-6237
Phone (480) 632-0057

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
PT0326370MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 27, 2021.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1932284577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052621",
            "telephone_number": "626-403-6200",
            "fax_number": "626-403-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052621",
            "telephone_number": "626-403-6200",
            "fax_number": "626-403-2580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1744 E Boston St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852956237",
            "country_code": "US",
            "telephone_number": "480-632-0057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUETMER",
        "first_name": "LOIS",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT32637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0326370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.