Michael T Lutz, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5243 Issued in AZ

Practice address

2150 Silver Creek Rd
Bullhead City, AZ 86442-8472

Phone

(928) 763-8700

NPI assigned

Oct 18, 2012

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1972856623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 PASEO GRANDE",
            "address_2": "APT 2011",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428523",
            "telephone_number": "715-292-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 SILVER CREEK RD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428472",
            "telephone_number": "928-763-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "5243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Longner, DC
• Martin Edward Longner, D.C.
• Savannah Ebony Love, PHLEBOTOMIST
• Samantha Lucero
• Shelly Lynn Lupian, LDO
• M.a.Nayer, M.D.,P.C.
• Gerald Mac Donald Jr.
• Javed Malik, M.D.
• Elliot Charles Maness, DO
• Krushna Mantri

• Occupational Therapy Assistant in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.