LUKE LETTINGA
NPI 1255721015
Physical Therapist in Pismo Beach, CA

Active since February 02, 2015
108 HOLLY WAY, PISMO BEACH, CA 93449(616) 560-8671 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luke Lettinga NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUKE LETTINGA (NPI 1255721015) is an individual physical therapist in Pismo Beach, California, licensed in California (291530) and active in the NPI registry since February 2015. He is a graduate of Other (2014).

NPPES Registry Identity

NPI1255721015
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameLUKE LETTINGA
Location Address108 HOLLY WAYPismo Beach, CA 93449-3221
Mailing Address108 Holly WayPismo Beach, CA 93449-3221 · (616) 560-8671
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 2, 2015
Last NPPES UpdateMarch 2, 2026
NPPES CertifiedMarch 2, 2026
NPI 1255721015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in CA · 291530
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
108 HOLLY WAY, Pismo Beach, CA 93449

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Luke Lettinga is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183941008
PECOS Enrollment IDI20260506003742

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
108 HOLLY WAY
PISMO BEACH, CA 93449
Psychologist (Adult Development & Aging)
108 HOLLY WAY
PISMO BEACH, CA 93449

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luke Lettinga's NPI number?

The NPI number for Luke Lettinga is 1255721015. It was assigned to this individual provider in the NPPES registry on February 2, 2015.

Where is Luke Lettinga located?

Luke Lettinga practices at 108 Holly Way, Pismo Beach, CA 93449. The listed phone number is (616) 560-8671.

What is Luke Lettinga's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Luke Lettinga enrolled in Medicare?

Yes. Luke Lettinga is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Luke Lettinga was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.