Individual provider Active NPI

Maren Eliza Butcher, PT

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1023237922
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5775 Issued in AZ
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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 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

IdentifierTypeStateIssuer
203062MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130000554 AZ Practitioner - Physical Therapist in Private Practice 8729436811 Reassigns benefits to 1 organization

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
Hari Krishna Health LLCGroup PAC ID 5092194019, 6 clinicians

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

LicenseStateTypeSpecialty
5775AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Az PT LLC Physical Therapist Current Accepting new patients
Hari Krishna Health LLC Physical Therapist CurrentSince Sep 30, 2023 Accepting new patients
Desert Sun Physical Therapy, LLC PastSince Sep 30, 2023 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.

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.

Verify at the official NPI Registry.