Jeramie Lee Butts, PHYSICAL THERAPY
Individual provider Active NPI Physical Therapist · Montgomery, IL
NPI 1124950993 · NPPES record last updated Jun 12, 2026
Key facts
- NPI
- 1124950993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070.039887 (IL)
- Practice address
- 1379 Sycamore LN
Montgomery, IL 60538-1453 - Phone
- (800) 770-6682
- NPI assigned
- Jun 3, 2026
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1420 W 18TH St
Chicago, IL 60608-3004
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260618000112 | IL | Practitioner - Physical Therapist in Private Practice | 8426520636 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.039887 | IL | Yes |
Addresses
Primary practice location
1379 Sycamore LN
Montgomery, IL 60538-1453
Mailing address
1379 Sycamore LN
Montgomery, IL 60538-1453
Other providers in Montgomery, IL
- Better Comfort Home Health Care LLC
- Jessica Bickett
- Abigail Brancaleon
- Dorothy Breske
- Khurrum M Butt
- C. Neil Kay Orthodontics PC
- Ismael Camacho
- Center for Behavioral Health Services LLC
- Keri Churchill
- Victoria A Cimino
All providers in Montgomery, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.