Active NPI
Elizabeth Ann Luttrull, DPT
- Physical Therapist
- Greenville, SC
National Provider Identifier
1982321360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11467
- Practice address
- 29 N Academy St
Greenville, SC 29601-2629 - Phone
- (864) 331-1350
- NPI assigned
- Oct 26, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 11467 | SC | Primary |
Addresses
Primary practice location
29 N Academy St
Greenville, SC 29601-2629
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
28 Jimmy Doolittle Dr
Greenville, SC 29607-2622
Phone (864) 679-8606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11467 | Other | SC | PHYSICAL THERAPY LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Server | Other |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11467 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Therapy Solutions, Inc. | Physical Therapist | Past | Accepting new patients |
| Advanced Therapy Solutions, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Greenville, SC
- NPI 1528593589
Physical Therapist
-
- Physical Therapist
- Spartanburg, SC
- NPI 1235197914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1982321360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 N ACADEMY ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012629",
"telephone_number": "864-331-1350"
}
],
"practiceLocations": [
{
"address_1": "28 Jimmy Doolittle Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296072622",
"country_code": "US",
"telephone_number": "864-679-8606",
"fax_number": "864-679-8608",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUTTRULL",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-26",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "11467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "11467",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Server",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "exchange PIH with other providers",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "28 Jimmy Doolittle Dr",
"city": "Greenville",
"state": "SC",
"country_code": "US",
"postal_code": "296072622",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.