SARA R LUTZ (OT) – Occupational Therapist, NPI 1487063871

SARA R LUTZ (OT) is a healthcare provider. based in Bloomington, Minnesota. specializing in Occupational Therapist. They hold the professional credentials OT. They hold a License No. 8569 (WI). The NPI Number for SARA R LUTZ (OT) is 1487063871

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SARA R LUTZ (OT)
NPI
1487063871
Phone
(952) 512-5600
Address
3500 AMERICAN BLVD W
Enumeration Date
11 August 2014
Last Update Date
1 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3072281005
Graduation Year
2017 (9 years ago)
PAC ID
3072846989
Group Practice PAC ID
7416233259
Professional Enrollment ID
I20190607002600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:11State licenses:3Digital endpointsOther names

Provider Addresses for SARA R LUTZ (OT)

  • 3500 AMERICAN BLVD W

    BLOOMINGTON, MN 554311068

    Phone: (952) 512-5600

    Type: Mailing

  • 2651 HILLCREST DR STE 101

    HUDSON, WI 540169919

    Phone: (800) 423-1088

    Fax: (651) 275-2795

    Type: Location

  • 1211 S DOUGLAS HWY STE 100

    GILLETTE, WY 827164982

    Phone: (307) 670-9191

    Fax: (307) 670-9193

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190607002600IOccupational Therapist In Private PracticeWYTBD
I20240402002255IOccupational Therapist In Private PracticeMNTBD
I20240411000780IOccupational Therapist In Private PracticeWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55431)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416233259View full group profile
NameSpecialtyState
MATTHEW JAY FUHR (PT, DPT)
-WY

Reviews

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Frequently asked questions

Can I verify SARA R LUTZ (OT) with an NPI only?
You can start verification with NPI 1487063871 for SARA R LUTZ (OT), then check state licensing separately.
Does the file indicate SARA R LUTZ (OT) is practicing under active NPI?
Directory data currently reports SARA R LUTZ (OT) as active.
What is SARA R LUTZ (OT) best known for clinically?
Directory data describes SARA R LUTZ (OT) with Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect SARA R LUTZ (OT) on a map?
Expect Bloomington, Minnesota as a primary anchor for SARA R LUTZ (OT) unless the record lists multiple sites.
Why does SARA R LUTZ (OT) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.