Active NPI
Alexandra Buttars, DPT
- Physical Therapist
- Fremont, CA
National Provider Identifier
1366911232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT295740
- Practice address
- 1895 Mowry Ave Ste 115
Fremont, CA 94538-1766 - Phone
- (510) 790-3213
- Fax
- (510) 790-3337
- NPI assigned
- Nov 20, 2018
- 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 | PT295740 | CA | Primary |
Addresses
Primary practice location
1895 Mowry Ave Ste 115
Fremont, CA 94538-1766
Mailing address
6759 Sierra CT
Ste a
Dublin, CA 94568-2657
Phone (925) 803-0530
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 |
|---|---|---|---|
| PT295740 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1366911232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6759 SIERRA CT",
"address_2": "STE A",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945682657",
"telephone_number": "925-803-0530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1895 MOWRY AVE STE 115",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381766",
"telephone_number": "510-790-3213",
"fax_number": "510-790-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTARS",
"first_name": "ALEXANDRA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-20",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT295740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.