Active NPI
Maren Eliza Butcher, PT
- Physical Therapist
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5775
- Practice address
- 793 N Alma School Rd
Ste D4
Chandler, AZ 85224-3681 - Phone
- (480) 626-4142
- Fax
- (480) 626-7370
- NPI assigned
- Apr 25, 2007
- Last updated
- Oct 30, 2007
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 5775 | AZ | Primary |
Addresses
Primary practice location
793 N Alma School Rd
Ste D4
Chandler, AZ 85224-3681
Mailing address
1357 E Carob PL
Chandler, AZ 85249-2527
Phone (480) 659-1772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203062 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Utah School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1807 E Queen Creek Rd
Suite 7
Chandler, AZ 85286-2023
Phone (602) 666-6602
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5775 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Az PT LLC | Physical Therapist | Current | Accepting new patients |
| Hari Krishna Health LLC | Physical Therapist | Current | Accepting new patients |
| Desert Sun Physical Therapy, LLC | Past | Accepting new patients |
Locations
1807 E Queen Creek Rd
Ste 7
Chandler, AZ 85286
Phone (480) 361-4604
430 W Warner Rd
Ste 104
Tempe, AZ 85284
Phone (602) 421-7481
Organizations & group practices 3
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.
-
- Physical Therapist
- Chandler, AZ
- NPI 1912643016
-
- Physical Therapist
- Phoenix, AZ
- NPI 1174249072
-
- Physical Therapy Clinic/Center
- Chandler, AZ
- NPI 1831388388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193702400000",
"number": "1023237922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1357 E CAROB PL",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852492527",
"telephone_number": "480-659-1772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "793 N ALMA SCHOOL RD",
"address_2": "STE D4",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852243681",
"telephone_number": "480-626-4142",
"fax_number": "480-626-7370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTCHER",
"first_name": "MAREN",
"middle_name": "ELIZA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2007-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5775",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203062",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.