Reginald Orlando Butler, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1335 Issued in SC

Practice address

690 Medical Park Dr
Aiken, SC 29801-6348

Phone

(803) 648-8344

NPI assigned

Jan 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639229420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 WHITEWOOD WAY",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298608978",
            "telephone_number": "803-278-4732",
            "fax_number": "803-279-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 MEDICAL PARK DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016348",
            "telephone_number": "803-648-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "REGINALD",
        "middle_name": "ORLANDO",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "1335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Simecka Bush, LPC
• Rysheeka Nykeema Bush, LPC
• Mary Katharine Butker Williams, SLP INTERN
• Cherell S. Butler, LISW, CP & AP
• Kimberly Smoak Butler, BSN, RN
• Aundia Caldwell
• Kathryne Cammisa, OT
• Brittany Campbell, LMSW
• Mary Earle Campbell, M.S.
• Molly Campbell, LPC

• Physical Therapy Assistant in Aiken, SC
• Providers in Aiken, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.