Individual provider Active NPI

Richard M Buttner, D.P.T.

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1659457737
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1674 Issued in NE
Practice address
2530 N 161St St
Omaha, NE 68116-2091
Phone
(402) 630-4435
Fax
(402) 502-1807
NPI assigned
Oct 31, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1674 NE Primary

Addresses

Primary practice location

2530 N 161St St
Omaha, NE 68116-2091

Mailing address

2530 N 161St St
Omaha, NE 68116-2091
Phone (402) 630-4435

Other identifiers 2

IdentifierTypeStateIssuer
47080596300MedicaidNE
470805963OtherNEFEDERAL TAX ID #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913000647 NE Practitioner - Physical Therapist in Private Practice 6901921071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

530 E 1St St
Papillion, NE 68046-2451
Phone (402) 896-9988

7599 Main St
Omaha, NE 68127-3915
Phone (402) 996-8489

9814 M St
Omaha, NE 68127-2056
Phone (402) 444-3368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1674NEMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard M Buttner DPT PC Physical Therapist CurrentSince Jan 20, 1999 Accepting new patients

Locations

7599 Main St
Omaha, NE 68127
Phone (402) 455-4348

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659457737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 N 161ST ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162091",
            "telephone_number": "402-630-4435",
            "fax_number": "402-502-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 N 161ST ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162091",
            "telephone_number": "402-630-4435",
            "fax_number": "402-502-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTNER",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47080596300",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID #",
            "identifier": "470805963",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.