Rebecca Jean Butler, DPT
Individual provider Active NPI Physical Therapist · Madison, MS
NPI 1205178191 · NPPES record last updated Dec 16, 2013
Key facts
- NPI
- 1205178191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1199680 (TX)
- Practice address
- 267 Rockbridge Dr
Madison, MS 39110-6897 - Phone
- (601) 297-2519
- NPI assigned
- Mar 19, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1199680 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1199680 | TX | Yes |
Addresses
Primary practice location
267 Rockbridge Dr
Madison, MS 39110-6897
Mailing address
267 Rockbridge Dr
Madison, MS 39110-6897
Phone (601) 297-2519
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 886T40 | Other | TX | BXBSTX |
Other providers in Madison, MS
- Leigh Farron Buckner
- Kersee Burkett
- Latesah Rosha Burks
- Morgan Lindsey Burnett
- McKenzie Russell Burns
- Sydney Butler
- BW Medical LLC
- Calyx Medical Services, LLC
- Kayla Denee Cannon
- Lauren Enstrom Cantrell
All providers in Madison, MS · Physical Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.