Active NPI
William Thomas Lutz Jr., P.T.
- Physical Therapist
- Lewisville, TX
National Provider Identifier
1942320874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1034239
- Practice address
- 966 N Garden Ridge Blvd Ste 530
Lewisville, TX 75077-2876 - Phone
- (972) 420-6605
- Fax
- (972) 436-2770
- NPI assigned
- Apr 2, 2007
- Last updated
- Dec 19, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1034239 | TX | Primary |
Addresses
Primary practice location
966 N Garden Ridge Blvd Ste 530
Lewisville, TX 75077-2876
Mailing address
1101 Ohio Dr
Ste 105
Plano, TX 75093-5331
Phone (972) 420-6605
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T1320 | Other | TX | BCBS |
| 7369407 | Other | TX | BCBS BLUELINK |
| 7805686 | Other | TX | AETNA PROVIDER NUMBER |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutz Physical Therapy, PLLC | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Carrollton, TX
- NPI 1376664102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1942320874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 OHIO DR",
"address_2": "STE 105",
"city": "PLANO",
"state": "TX",
"postal_code": "750935331",
"telephone_number": "972-420-6605",
"fax_number": "972-436-2770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "966 N GARDEN RIDGE BLVD STE 530",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750772876",
"telephone_number": "972-420-6605",
"fax_number": "972-436-2770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "WILLIAM",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1034239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8T1320",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS BLUELINK",
"identifier": "7369407",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "7805686",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
- Franz Julius Lucas, D.D.S.
- Lucky Smiles LLC (Lucky Smiles Dentistry)
- Courtney Lynn Lucus
- Lung Doctors for Children, PLLC
- Diana Elizabeth Luts, M.D.
- Luxottica of America Inc. (Lenscrafters #355)
- Luxottica Retail North America Inc (Target Optical #C4286)
- Luxottica Retail North America Inc (Target Optical #C4484)
- Khuong Quoc Ly, RPH
- Carolyn B Lyde, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.