Kaitlin Brianne Lutz, P.T., D.P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

4203 Issued in NM

Practice address

4400 Lead Ave SE
Albuquerque, NM 87108-2844

Phone

(505) 266-3655

Fax

(505) 268-2771

NPI assigned

Oct 4, 2012

Last updated

May 7, 2014By the provider in NPPES

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)

Enrolled

Practice roles

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.

• Armada Physical Therapy of Albuquerque LLC

  dba Armada Physical Therapy

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1851713663
  NPD (past)
• Rio Rancho Physical Therapy

  • Orthopedic Physical Therapist
  • Rio Rancho, NM
  • NPI 1104869387
  NPD (past)

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1962754614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 LEAD AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082844",
            "telephone_number": "505-266-3655",
            "fax_number": "505-268-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 LEAD AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082844",
            "telephone_number": "505-266-3655",
            "fax_number": "505-268-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "KAITLIN",
        "middle_name": "BRIANNE",
        "name_prefix": "Mrs.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NM",
            "license": "4203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven R Luster
• Jonah Lustig, PSYD
• Ryan Lutheran
• Zephyr Suerte Lutz-Carrillo, MD, MPH
• Gina Marie Lutz, M.D.
• Madison Frances Lutz, CPNP-PC
• Sara Lynn Lutz, DO
• Gabrielle Luu, MD
• Mai Ngoc Luu, MD
• Lux Home Care LLC

• Orthopedic Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Orthopedic Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.