Cody Ross Butler, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11247 Issued in CO

Practice address

1100 Wilford Hall Loop
Physical Therapy Clinic
San Antonio, TX 78236

Phone

(210) 292-4277

NPI assigned

May 26, 2011

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

Other names 1

• Cody Ross Carroll Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1679866453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782365638",
            "telephone_number": "435-650-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP",
            "address_2": "PHYSICAL THERAPY CLINIC",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "210-292-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "CODY",
        "middle_name": "ROSS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CODY",
            "last_name": "CARROLL",
            "middle_name": "ROSS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leslie Buterworth, L.AC.
• Alexis Butler, HCB
• Alexis Nicole Butler
• Allisa Renee Butler, MSN RN
• CH'Bree M Butler
• Gerald V Butler, DDS
• Jane C Butler
• Kayleigh Butler, LPC ASSOCIATE
• Mack Butler
• Mary Butler, PA-C

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.