Individual provider Active NPI

Deborah Rene Brashears-Butler, PTA

  • Skilled Nursing Facility
  • Stuart, FL
National Provider Identifier
1265797344
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
PTA196 Issued in FL
Practice address
1500 SE Palm Beach Rd
Stuart Nursing and Restorative Care
Stuart, FL 34994-4044
Phone
(772) 283-5887
Fax
(772) 781-4563
NPI assigned
Jul 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X PTA196 FL Primary

Addresses

Primary practice location

1500 SE Palm Beach Rd
Stuart Nursing and Restorative Care
Stuart, FL 34994-4044

Mailing address

1602 SW Mullinax Ave
Port St Lucie, FL 34953-7060

Other names 1

  • Deborah Brashears-Butler Other name

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

LicenseStateTypeSpecialty
PTA196FLMDSkilled Nursing Facility

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1265797344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 SW MULLINAX AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349537060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SE PALM BEACH RD",
            "address_2": "STUART NURSING AND RESTORATIVE CARE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944044",
            "telephone_number": "772-283-5887",
            "fax_number": "772-781-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASHEARS-BUTLER",
        "first_name": "DEBORAH",
        "middle_name": "RENE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "PTA196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "BRASHEARS-BUTLER",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.