Organization Active NPI

Patti Mahlandtbutts

  • Skilled Nursing Facility
  • Kenosha, WI
National Provider Identifier
1669741096
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
69019 Issued in WI
Legal business name
PATTI MAHLANDTBUTTS
Practice address
3506 Washington Rd
Kenosha, WI 53144-1654
Phone
(262) 653-3814
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Mrs. Patti L Mahlandt Butts, 69019
Title
Physical Therapist Assistant
Phone
(262) 653-3814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 69019 WI Primary

Addresses

Primary practice location

3506 Washington Rd
Kenosha, WI 53144-1654

Mailing address

3506 Washington Rd
Kenosha, WI 53144-1654
Phone (262) 653-3814

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1669741096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 WASHINGTON RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441654",
            "telephone_number": "262-653-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 WASHINGTON RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441654",
            "telephone_number": "262-653-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTI MAHLANDTBUTTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "MAHLANDT BUTTS",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "262-653-3814",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "69019"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "69019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.