Individual provider Active NPI

Pierre-Yves Frederic Butheau, M.S.P.T.

  • Physical Therapist
  • Burien, WA
National Provider Identifier
1033100441
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00009004 Issued in WA
Practice address
15034 5TH LN S
Burien, WA 98148-2551
Phone
(425) 281-4171
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 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 PT00009004 WA Primary

Addresses

Primary practice location

15034 5TH LN S
Burien, WA 98148-2551

Mailing address

15034 5TH LN S
Burien, WA 98148-2551
Phone (425) 281-4171

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PT00009004WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Butheau Physiotherapy CurrentSince Mar 15, 2017 Accepting new patients
Pine Lake Physical Therapy & Sports Rehab, P.S. PastSince Sep 1, 1998 Accepting new patients
Olympic Physical Therapy, Inc Physical Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1033100441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15034 5TH LN S",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981482551",
            "telephone_number": "425-281-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15034 5TH LN S",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981482551",
            "telephone_number": "425-281-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTHEAU",
        "first_name": "PIERRE-YVES",
        "middle_name": "FREDERIC",
        "name_prefix": "Mr.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.