Kimberly Buta-Blair, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501004541 Issued in MI

Practice address

1720 Abbey Rd Ste a
East Lansing, MI 48823-6363

Phone

(517) 333-6692

Fax

(517) 333-6705

NPI assigned

Apr 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Buta Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leelanau Physical Therapy PCGroup PAC ID 1557527561, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.38 of 100Reported as group

Quality

70.13

Promoting interoperability

100

Improvement activities

40

Cost

67.82

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: kimberly.butablair.p4@direct.athleticoltd.nextgenshare.com

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.

• Leelanau Physical Therapy, PC

  • Physical Therapist
  • Suttons Bay, MI
  • NPI 1295092658
  Medicare reassignment Care Compare group NPD
• Ompt Specialists, Inc.

  • Physical Therapist
  • Troy, MI
  • NPI 1205865961
  Medicare reassignment NPD

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1649777822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-6200",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 ABBEY RD STE A",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236363",
            "telephone_number": "517-333-6692",
            "fax_number": "517-333-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTA-BLAIR",
        "first_name": "KIMBERLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BUTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Burns
• Carly Burry
• Amy Demare Burton, LMSW
• Nichole Darnel-Anjanette Busch, LMSW
• James Christopher Buswinka, D.O.
• Lindsey Butash
• Timothy M Butcko, D.C.
• Rokita Butler
• Sandra Butler, LLP
• Margaret J. Byers, D.O.

• Physical Therapist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.