Active NPI
Juliet Margaret Buettner, PT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1063061968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0471
- Practice address
- 11091 Kilkerran C
Las Vegas, NV 89141-4356 - Phone
- (702) 816-6811
- Fax
- (702) 361-7743
- NPI assigned
- Sep 4, 2019
- 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 Therapist | 225100000X | 0471 | NV | Primary |
Addresses
Primary practice location
11091 Kilkerran C
Las Vegas, NV 89141-4356
Mailing address
9253 Evergreen Canyon Dr
Las Vegas, NV 89134-6064
Phone (702) 301-7512
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0471 | NV | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Debbie Tilton Otrl Inc | Physical Therapist | Past | Accepting new patients |
| Tiltons Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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": "1567555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1063061968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9253 EVERGREEN CANYON DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891346064",
"telephone_number": "702-301-7512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11091 KILKERRAN C",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891414356",
"telephone_number": "702-816-6811",
"fax_number": "702-361-7743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUETTNER",
"first_name": "JULIET",
"middle_name": "MARGARET",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-04",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "0471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.