JEFFREY LUTZKER
NPI 1265242101
Occupational Therapist in St Petersburg, FL

Active since January 13, 2025Accepts Medicare Assignment
4201 31ST ST S, ST PETERSBURG, FL 33712(727) 867-1104 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jeffrey Lutzker NPPES

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

JEFFREY LUTZKER (NPI 1265242101) is an individual occupational therapist in St Petersburg, Florida and active in the NPI registry since January 2025. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1265242101
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameJEFFREY LUTZKER
Location Address4201 31ST ST SSt Petersburg, FL 33712-4051
Mailing Address855 Central Ave Unit 1116St Petersburg, FL 33701-3684 · (914) 582-3746
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1265242101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
4201 31ST ST S, St Petersburg, FL 33712

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffrey Lutzker is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890280895
PECOS Enrollment IDI20251217002303

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Lutzker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
280 W 231ST ST
Bronx, NY 10463
  • Reassigned Medicare billing, New York enrollment
  • 138 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

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

Occupational Therapist
4201 31ST ST S
SAINT PETERSBURG, FL 33712
Speech-Language Pathologist
4201 31ST ST S
ST PETERSBURG, FL 33712
Physical Medicine & Rehabilitation
4201 31ST ST S
SAINT PETERSBURG, FL 33712
Physical Therapy Assistant
4201 31ST ST S
SAINT PETERSBURG, FL 33712
Speech-Language Pathologist
4201 31ST ST S
ST PETERSBURG, FL 33712
Physical Therapy Assistant
4201 31ST ST S
ST PETERSBURG, FL 33712
Occupational Therapist
4201 31ST ST S
ST PETERSBURG, FL 33712
Skilled Nursing Facility
4201 31ST ST S
ST PETERSBURG, FL 33712

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 Jeffrey Lutzker's NPI number?

The NPI number for Jeffrey Lutzker is 1265242101. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Where is Jeffrey Lutzker located?

Jeffrey Lutzker practices at 4201 31st St S, St Petersburg, FL 33712. The listed phone number is (727) 867-1104.

What is Jeffrey Lutzker's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Jeffrey Lutzker enrolled in Medicare?

Yes. Jeffrey Lutzker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jeffrey Lutzker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Lutzker reassigns Medicare benefits to Theradynamics Rehab. Pt, Ot & Slp, PLLC (Bronx, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Lutzker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Lutzker was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.