Mackenzie Buttles, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

410 Dewey St
Wisconsin Rapids, WI 54494-4715

Phone

(715) 423-6060

NPI assigned

Mar 28, 2023

Last updated

Nov 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in WI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Performance Therapy LLCGroup PAC ID 4486004801, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pinnacle Performance Therapy LLC

  • Physical Therapist
  • Wisconsin Rapids, WI
  • NPI 1770281305
  Medicare reassignment Care Compare group NPD
• Aspirus Riverview Hospital & Clinics, Inc.

  dba Aspirus Outpatient Therapies - Wisconsin Rapids

  • General Acute Care Hospital
  • Wisconsin Rapids, WI
  • NPI 1295754844
  Medicare reassignment NPD
• Aspirus Riverview Hospital & Clinics, Inc.

  dba Aspirus Clinic - Marshfield

  • Rural Health Clinic/Center
  • Marshfield, WI
  • NPI 1124633870
  NPD

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1174227862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 BARNUM BAY TRL",
            "city": "NEKOOSA",
            "state": "WI",
            "postal_code": "544579167",
            "telephone_number": "608-558-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 DEWEY ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944715",
            "telephone_number": "715-423-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTLES",
        "first_name": "MACKENZIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Buchs-Hammonds, M.S.W., L.C.S.W.
• Jordan Bui
• Heidi J Bulgrin
• Amanda Bullock, RN
• Nicole L Burlingame
• Jessica Lynn Cahill, PA
• Tonya Lyn Krueger Callahan, MS CRC LPC
• Carlson Gi Clinic
• Joel M Carlson, M.D.
• Erica Carpenter, LPN

• Occupational Therapist in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.

Verify at the official NPI Registry.