Alan Edward Butler, ATC, LAT, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA19714 Issued in FL

Practice address

10610 N 56TH St
Temple Terrace, FL 33617-3641

Phone

(813) 983-0440

Fax

(813) 983-8110

NPI assigned

Apr 20, 2006

Last updated

May 3, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1093770067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 GIANNA WAY",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387820",
            "telephone_number": "813-920-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10610 N 56TH ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336173641",
            "telephone_number": "813-983-0440",
            "fax_number": "813-983-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ALAN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT, PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA19714",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL1574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Burk, APRN
• Jada Olivia Burns
• Emily Rose Burroughs, PA-C
• Mindy Ellen Bursten, LCSW
• Mia Anneliese Bush
• Camila Cabrera
• Luz E Cabrera, D.M.D.
• Matthew Callahan, PTA
• Osmel Calvi Gell
• Whitney Cameron, ARNP-C

• Physical Therapy Assistant in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.