Individual provider Active NPI

Maryann Butchko, OT

  • Specialist
  • Asheville, NC
National Provider Identifier
1285688671
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5436 Issued in NC
Practice address
200 Asheland Ave
Suite 200B
Asheville, NC 28801-4016
Phone
(828) 242-4410
Fax
(828) 257-2032
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5436 NC Primary

Addresses

Primary practice location

200 Asheland Ave
Suite 200B
Asheville, NC 28801-4016

Mailing address

200 Asheland Ave
Suite 200B
Asheville, NC 28801-4016
Phone (828) 242-4410

Other identifiers 1

IdentifierTypeStateIssuer
137X9OtherNCBC/BS

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

LicenseStateTypeSpecialty
5436NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Fowler, PT, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1285688671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ASHELAND AVE",
            "address_2": "SUITE 200B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014016",
            "telephone_number": "828-242-4410",
            "fax_number": "828-257-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ASHELAND AVE",
            "address_2": "SUITE 200B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014016",
            "telephone_number": "828-242-4410",
            "fax_number": "828-257-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHKO",
        "first_name": "MARYANN",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "5436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "137X9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.