Active NPI
Michael Blaine Butler
- Occupational Therapy Assistant
- Omaha, NE
National Provider Identifier
1134561053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP001745L
- Practice address
- 13609 California St
Suite 200
Omaha, NE 68154-5260 - Phone
- (402) 891-1118
- NPI assigned
- Jul 19, 2013
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OP001745L | PA | Primary |
Addresses
Primary practice location
13609 California St
Suite 200
Omaha, NE 68154-5260
Mailing address
23 Robinhood Rd
Pittsburgh, PA 15220-3013
Phone (412) 341-4479
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 |
|---|---|---|---|
| OP001745L | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1134561053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 ROBINHOOD RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152203013",
"telephone_number": "412-341-4479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13609 CALIFORNIA ST",
"address_2": "SUITE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681545260",
"telephone_number": "402-891-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "MICHAEL",
"middle_name": "BLAINE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-19",
"last_updated": "2013-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP001745L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.