Individual provider Active NPI

Timothy Butcher

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1013024272
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7228 Norris Fwy
Knoxville, TN 37918-5744
Phone
(865) 377-3176
Fax
(865) 377-3187
NPI assigned
Aug 24, 2006
Last updated
Mar 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

7228 Norris Fwy
Knoxville, TN 37918-5744

Mailing address

7228 Norris Fwy
Knoxville, TN 37918-5744
Phone (865) 377-3176

Other identifiers 1

IdentifierTypeStateIssuer
5452OtherTNLICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080827000181 TN Practitioner - Physical Therapist in Private Practice 5890790281 Reassigns benefits to 1 organization
I20160909002433 KY Practitioner - Physical Therapist in Private Practice 5890790281 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Physical Therapy Kentucky LLC CurrentSince Apr 1, 2018 Accepting new patients
Champion Physical Therapy Kentucky, LLC Physical Therapist CurrentSince Apr 1, 2018 Accepting new patients
Champion Physical Therapy LLC Halls Past Accepting new patients

Locations

1475 US Highway 25 E
Ste 6
Middlesboro, KY 40965
Phone (606) 248-1996

103 S Pine St
Pineville, KY 40977
Phone (606) 254-2075

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1013024272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7228 NORRIS FWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185744",
            "telephone_number": "865-377-3176",
            "fax_number": "865-377-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7228 NORRIS FWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185744",
            "telephone_number": "865-377-3176",
            "fax_number": "865-377-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "5452",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.