Blair William Butler, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5632 Issued in HI

Practice address

5722 Kalanianaole Hwy
Honolulu, HI 96821-2388

Phone

(808) 373-3555

NPI assigned

Feb 22, 2023

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

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of South Florida College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthosport Hawaii, LLCGroup PAC ID 5890872634, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Orthosport Hawaii, LLC

  • Orthopedic Physical Therapist
  • Honolulu, HI
  • NPI 1619147543
  Medicare reassignment Care Compare group NPD
• Orthosport Physical Therapy

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Honolulu, HI
  • NPI 1811585524
  NPD

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1659079275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 QUEEN ST APT 3804",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5722 KALANIANAOLE HWY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212388",
            "telephone_number": "808-373-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "BLAIR",
        "middle_name": "WILLIAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT5632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chasidee Bush, RN
• George Curtis Bush
• Racheal Marie Bush
• Joshua Busse
• Andrew Bussey, M.D.
• Maryam Butler, PA-C
• Stephen K Buto, MD
• Butterfly Effect Collective LLC
• John Henry Buzanoski, M.D.
• Megan Byars

• Physical Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.