Brian L Butkiewicz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

777-019 Issued in WI

Practice address

6735 W Bradley Rd
Milwaukee, WI 53223-3325

Phone

(414) 354-3300

NPI assigned

May 1, 2007

Last updated

Feb 7, 2014By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1346461233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11651 WEST GRANGE AVE",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "53130",
            "telephone_number": "414-529-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 W BRADLEY RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532233325",
            "telephone_number": "414-354-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTKIEWICZ",
        "first_name": "BRIAN",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "777-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin H Busse, PHARM.D.
• Bret Bussinger
• Sophia Marie Butargabe, MS, LPC-IT
• Jyothsna Butchireddy
• Jamie Buth, M.D.
• Butler Orthopedics LLP
• Brian R Butler, DPT, ATC
• Dennis J Butler, PHD
• Jaime K Butler, MD
• Jeffrey J Butler, MD

• Physical Therapy Assistant in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.