Active NPI
Paul Butcher, MPT,CSCS
- Physical Therapist
- Santa Fe, NM
National Provider Identifier
1407043094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2494
- Practice address
- 2954 Rodeo Park Dr W
Santa Fe, NM 87505-6351 - Phone
- (505) 424-0131
- Fax
- (505) 424-1299
- NPI assigned
- Sep 27, 2007
- Last updated
- Aug 2, 2011
- Sex
- Male
- 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 | 2494 | NM | Primary |
Addresses
Primary practice location
2954 Rodeo Park Dr W
Santa Fe, NM 87505-6351
Mailing address
PO Box 6100
Santa Fe, NM 87502-6100
Phone (505) 424-0131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N4536 | Medicaid | NM |
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 |
|---|---|---|---|
| 2494 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Sports & PT | Past | Accepting new patients | |
| Rocky Mountain Orthopedics Inc | Past | Accepting new patients | |
| New Mexico Sports & Physical Therapy | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Santa Fe, NM
- NPI 1831242999
-
- Physical Therapy Clinic/Center
- Santa Fe, NM
- NPI 1427130137
-
dba Rocky Mountain Spine Institute
- Orthopedic Physical Therapist
- Espanola, NM
- NPI 1780630491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312243200000",
"number": "1407043094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6100",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875026100",
"telephone_number": "505-424-0131",
"fax_number": "505-424-1299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2954 RODEO PARK DR W",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875056351",
"telephone_number": "505-424-0131",
"fax_number": "505-424-1299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTCHER",
"first_name": "PAUL",
"credential": "MPT,CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-27",
"last_updated": "2011-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "2494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N4536",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.