Active NPI
Kandice Butcher, PT
- Physical Therapist
- Dunkirk, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008228
- Practice address
- 51 E 3Rd St
Dunkirk, NY 14048-2201 - Phone
- (716) 363-2244
- NPI assigned
- May 25, 2006
- 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 | 008228 | NY | Primary |
Addresses
Primary practice location
51 E 3Rd St
Dunkirk, NY 14048-2201
Mailing address
15 S Main St
Ste 220
Jamestown, NY 14701-6626
Phone (716) 488-2322
Other practice location 1
104 Memorial Dr
Gowanda, NY 14070-1111
Phone (716) 532-2258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J2101396318 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100521000012 | NY | Practitioner - Physical Therapist in Private Practice | 6709879620 | |
| I20210726000419 | GA | Practitioner - Physical Therapist in Private Practice | 6709879620 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atlanta Rehabilitation and Performance Center
Practice addresses (Care Compare)
1301 Sigman Rd NE
Suite 220
Conyers, GA 30012-3819
Phone (678) 210-0311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resurgens, LLC | Current | Accepting new patients | |
| The Chautauqua Center, Inc | Current | Accepting new patients | |
| Resurgens, LLC | Current | Accepting new patients | |
| Tri-County Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
| Western New York PT Group PC | Physical Therapist | Past | Accepting new patients |
| Rehabilitation Today Services for Psychology Et Al PLLC | Past | Accepting new patients |
Locations
2041 Mesa Valley Way
Ste 100
Austell, GA 30106
Phone (770) 944-1100
5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590
5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732
51 E 3rd St
Dunkirk, NY 14048
Phone (716) 363-2244
1134 Central Ave
Dunkirk, NY 14048
Phone (716) 366-6036
15 S Main St
Ste 220
Jamestown, NY 14701
Phone (716) 484-4334
Organizations & group practices 8
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.
-
- Physical Therapy Clinic/Center
- Cleveland, GA
- NPI 1982797494
GA
-
- Physical Therapy Clinic/Center
- Lawrenceville, GA
- NPI 1013789205
-
- Federally Qualified Health Center (FQHC)
- Dunkirk, NY
- NPI 1760747521
-
- Orthopaedic Surgery Physician
- Braselton, GA
- NPI 1033919790
-
- Multi-Specialty Clinic/Center
- Olean, NY
- NPI 1396842811
-
- Physical Therapist
- Gowanda, NY
- NPI 1083660765
-
- Physical Therapist
- Depew, NY
- NPI 1013188341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1619923232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 S MAIN ST",
"address_2": "STE 220",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147016626",
"telephone_number": "716-488-2322",
"fax_number": "716-488-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 E 3RD ST",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140482201",
"telephone_number": "716-363-2244"
}
],
"practiceLocations": [
{
"address_1": "104 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Gowanda",
"state": "NY",
"postal_code": "140701111",
"country_code": "US",
"telephone_number": "716-532-2258",
"fax_number": "716-532-2321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTCHER",
"first_name": "KANDICE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "008228",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "J2101396318",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dunkirk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.