Active NPI
Nicholas Lee Butler, PT
- Physical Therapist
- West Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 07424
- Practice address
- 4920 Cypress St
Units C & D
West Monroe, LA 71291-7674 - Phone
- (318) 397-3331
- Fax
- (318) 397-3336
- NPI assigned
- Mar 25, 2009
- Last updated
- Sep 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 07424 | LA | |
| Physical Therapist | 225100000X | 07424 | LA | Primary |
Addresses
Primary practice location
4920 Cypress St
Units C & D
West Monroe, LA 71291-7674
Mailing address
4920 Cypress St
Units C & D
West Monroe, LA 71291-7674
Phone (318) 397-3331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
160 Christian Dr
Rayville, LA 71269-3645
Phone (318) 728-4088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richland Therapy Services, LLC | Physical Therapist | Current | Accepting new patients |
| PT Partners, LLC | Physical Therapist | Current | Accepting new patients |
| Sterlington Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
1812 E Madison Ave
Bastrop, LA 71220
Phone (318) 235-9326
160 Christian Dr
Rayville, LA 71269
Phone (318) 728-4088
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.
-
- Occupational Therapist
- Rayville, LA
- NPI 1831173657
Physical Therapist
-
- Physical Therapist
- Bastrop, LA
- NPI 1912617994
-
- Physical Therapist
- Monroe, LA
- NPI 1104458686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1487896205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4920 CYPRESS ST",
"address_2": "UNITS C & D",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712917674",
"telephone_number": "318-397-3331",
"fax_number": "318-397-3336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4920 CYPRESS ST",
"address_2": "UNITS C & D",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712917674",
"telephone_number": "318-397-3331",
"fax_number": "318-397-3336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "NICHOLAS",
"middle_name": "LEE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-25",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "07424",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "07424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.