Active NPI
Kayla Darsam Butler
- Physical Therapy Assistant
- Laguna Hills, CA
National Provider Identifier
1013764133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 23001 Del Lago Dr
Laguna Hills, CA 92653-1354 - Phone
- (949) 387-7333
- NPI assigned
- May 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
23001 Del Lago Dr
Laguna Hills, CA 92653-1354
Mailing address
23001 Del Lago Dr
Laguna Hills, CA 92653-1354
Phone (949) 387-7333
Other practice location 1
4735 Perkins Rd Ste A
Baton Rouge, LA 70808-3040
Phone (225) 923-0110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MC2 Enterprises, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Child Physical Disabilities Respite Care
- Baton Rouge, LA
- NPI 1326176629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1013764133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23001 DEL LAGO DR",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531354",
"telephone_number": "949-387-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23001 DEL LAGO DR",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531354",
"telephone_number": "949-387-7333"
}
],
"practiceLocations": [
{
"address_1": "4735 Perkins Rd Ste A",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708083040",
"country_code": "US",
"telephone_number": "225-923-0110",
"fax_number": "225-923-0111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTLER",
"first_name": "KAYLA",
"middle_name": "DARSAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-06",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.