Active NPI
Kenneth Patrick Butler, DPT
- Physical Therapist
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12441920-2401
- Practice address
- 2000 Medical Pkwy Ste 404
Annapolis, MD 21401-3746 - Phone
- (443) 481-1140
- NPI assigned
- Sep 24, 2021
- Last updated
- Sep 24, 2021
- Sex
- Male
- 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 | 12441920-2401 | UT | Primary |
Addresses
Primary practice location
2000 Medical Pkwy Ste 404
Annapolis, MD 21401-3746
Mailing address
8831 S Russell Park Rd
Salt Lake City, UT 84121-6140
Phone (801) 712-3251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12441920-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Medstar Health Physical Therapy at Home, LLC. | Physical Therapist | Current | Accepting new patients |
| Medstar Health Physical Therapy at Home, LLC. | Physical Therapist | Current | Accepting new patients |
Locations
161 Jennifer Rd
Ste A
Annapolis, MD 21401
4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190
6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004
5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077
10980 Grantchester Way
Columbia, MD 21044
Phone (410) 772-6500
28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270
8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508
8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515
7611 Crain Hwy
#C170
Upper Marlboro, MD 20772
Organizations & group practices 7
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 Therapy Clinic/Center
- Annapolis, MD
- NPI 1396122842
Physical Therapist
-
- Rehabilitation Clinic/Center
- Columbia, MD
- NPI 1891472684
Physical Therapist
-
dba AAMG Physical Therapy Cape St. Claire
- Physical Therapist
- Annapolis, MD
- NPI 1134763212
-
dba DCH OP Rehab OT
- Physical Therapy Clinic/Center
- Lanham, MD
- NPI 1457985889
Physical Therapist
-
- Physical Therapist
- Washington, DC
- NPI 1811683923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1073284543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8831 S RUSSELL PARK RD",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216140",
"telephone_number": "801-712-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MEDICAL PKWY STE 404",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013746",
"telephone_number": "443-481-1140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "KENNETH",
"middle_name": "PATRICK",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-24",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "12441920-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.