Individual provider Active NPI

John J Buttari, MS PT

  • Physical Therapist
  • Richmond, VA
National Provider Identifier
1386721033
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305203211 Issued in VA
Practice address
2000 Bremo Road
Suite 202
Richmond, VA 23226
Phone
(804) 285-0148
Fax
(804) 673-6026
NPI assigned
Nov 1, 2006
Last updated
Aug 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305203211 VA Primary

Addresses

Primary practice location

2000 Bremo Road
Suite 202
Richmond, VA 23226

Mailing address

PO Box 147
Midlothian, VA 23113
Phone (804) 378-5010

Other identifiers 1

IdentifierTypeStateIssuer
174357OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100202000326 DC Practitioner - Physical Therapist in Private Practice 0446393235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6201 Centreville Rd
Suite 600
Centreville, VA 20121-2634
Phone (703) 435-6604

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2305203211VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Town Center Orthopaedic Associates PC CurrentSince Aug 29, 2012 Accepting new patients
Town Center Orthopaedic Associates, P.C. Physical Therapist CurrentSince Aug 29, 2012 Accepting new patients
Orthopedic Physical Therapy Inc PastSince Apr 18, 2019 Accepting new patients

Locations

6201 Centreville Rd
Ste 600
Centreville, VA 20121
Phone (571) 261-6177

1860 Town Center Dr
Ste 300
Reston, VA 20190
Phone (703) 483-4684

Interoperability endpoints

  • Direct secure messaging: jbuttari@tcoa.emadirect.md

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1386721033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23113",
            "telephone_number": "804-378-5010",
            "fax_number": "804-378-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BREMO ROAD",
            "address_2": "SUITE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23226",
            "telephone_number": "804-285-0148",
            "fax_number": "804-673-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTARI",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "174357",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.