Individual provider Active NPI

Colin Butler, PT, DPT, ATC

  • Physical Therapist
  • Hamilton, NJ
National Provider Identifier
1558874354
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT030346 Issued in PA
Practice address
4609 Nottingham Way
Hamilton, NJ 08690-3819
Phone
(609) 436-9089
NPI assigned
Nov 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02026600 NJ
Physical Therapist 225100000X PT030346 PA Primary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4609 Nottingham Way
Hamilton, NJ 08690-3819

Mailing address

66-20 Drexelbrook Dr
Drexel Hill, PA 19026-5539

Other practice location 1

203 Crump Rd
Exton, PA 19341-1516
Phone (610) 241-2685

Other practice location 2

401 N Fairview St
Lock Haven, PA 17745
Phone (570) 893-2011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221220000053 PA Practitioner - Physical Therapist in Private Practice 1658740394 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Range Health Services LLCGroup PAC ID 3577789452, 15 clinicians

Practice addresses (Care Compare)

Exton, PA 19341
Phone (610) 241-2685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02026600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level Physical Therapy Physical Therapist CurrentSince Jul 23, 2022 Accepting new patients
Pennsylvania Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jul 21, 2025 Accepting new patients
Full Range Health Services, LLC Physical Therapist CurrentSince Jan 31, 2026 Accepting new patients
Advanced Orthopaedic Centers PA Physical Therapist PastSince Jan 31, 2026 Accepting new patients

Locations

4609 Nottingham Way
Trenton, NJ 08690
Phone (609) 436-9089

4302 Woodland Ave
Drexel Hill, PA 19026
Phone (610) 241-2685

300 Welsh Rd
Bldg 1
Horsham, PA 19044

1020 Industrial Blvd
Ste 300
Southampton, PA 18966
Phone (215) 614-5922

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1558874354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66-20 DREXELBROOK DR",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190265539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 NOTTINGHAM WAY",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903819",
            "telephone_number": "609-436-9089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Crump Rd",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193411516",
            "country_code": "US",
            "telephone_number": "610-241-2685",
            "fax_number": "877-732-7311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 N Fairview St",
            "address_purpose": "LOCATION",
            "city": "Lock Haven",
            "state": "PA",
            "postal_code": "17745",
            "country_code": "US",
            "telephone_number": "570-893-2011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "COLIN",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-15",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02026600",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030346",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.