Pamela Susan Butterfield, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21299 Issued in CA

Practice address

630 Montclair Dr
Santa Rosa, CA 95409-2835

Phone

(707) 328-3409

NPI assigned

Dec 1, 2012

Sex

Female

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Stac Physical Therapy Sonoma, Inc.

  • Physical Therapist
  • Santa Rosa, CA
  • NPI 1720707136
  Medicare reassignment

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

{
    "created_epoch": "1354320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354320000000",
    "number": "1356686356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 MONTCLAIR DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954092835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 MONTCLAIR DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954092835",
            "telephone_number": "707-328-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERFIELD",
        "first_name": "PAMELA",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-01",
        "last_updated": "2012-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anissa C Butler, MD
• Caitlin Siobhan Butler, LMFT, LPCC
• Katherine Ellen Butler, AMFT
• Natalie Butler
• William Peter Butrica Jr., D.D.S.
• Penelope Anne Butterfield
• Hannah Lee Kealoha Button
• Jeniece Butts
• Anne Katherine Buxbaum, MFT
• John West Buzza, DDS

• Physical Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.