Travis Butcher

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE012704 Issued in PA

Practice address

15900 US-6
Troy, PA 16947

Phone

(570) 297-4111

NPI assigned

Mar 30, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1114505336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 E UNION ST APT 1",
            "city": "CANTON",
            "state": "PA",
            "postal_code": "177241208",
            "telephone_number": "570-971-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 US-6",
            "city": "TROY",
            "state": "PA",
            "postal_code": "16947",
            "telephone_number": "570-297-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "TRAVIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE012704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradford Foot and Ankle Specialties
• William P Brown, D.O.
• Jodey Lynn Buchanan
• Tanner R. Bulkley, PA-C
• Lawrence Busch, DMD
• Katelynn Edgar Carpenter, DMD
• Courtney Case, PA-C
• Maria Ann Castaldi I
• Melinda May Coates, MS OTR/L
• Hannah Cochran, COTA/L

• All providers in Troy, PA
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.