Active NPI
Katheryn A Button, PT
- Physical Therapist
- Marinette, WI
National Provider Identifier
1235308701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3992-24
- Practice address
- 4061 Old Peshtigo Rd
Marinette, WI 54143-3887 - Phone
- (715) 732-8000
- NPI assigned
- Feb 28, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3992-24 | WI | Primary |
Addresses
Primary practice location
4061 Old Peshtigo Rd
Marinette, WI 54143-3887
Mailing address
4061 Old Peshtigo Rd
Marinette, WI 54143-3887
Phone (715) 732-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40223500 | Medicaid | WI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3992-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1235308701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4061 OLD PESHTIGO RD",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541433887",
"telephone_number": "715-732-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4061 OLD PESHTIGO RD",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541433887",
"telephone_number": "715-732-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTON",
"first_name": "KATHERYN",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-28",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3992-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40223500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marinette, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.