Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Luke Lettinga

Individual provider Physical Therapist · NPI 1255721015

Luke Lettinga is a Physical Therapist in Private Practice in Pismo Beach, California. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2015
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Practice location Address checks out

108 Holly Way
Pismo Beach, CA 93449-3221
Phone: (616) 560-8671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 291530 (CA)

Record details

NPI number1255721015
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 2, 2015
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026
Mailing address108 Holly Way, Pismo Beach, CA 93449-3221

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Pismo Beach