Joshua Butler

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

039310 Issued in NY

Practice address

26908 Independence Way
Suite 102
Evans Mills, NY 13637-3300

Phone

(315) 629-6255

NPI assigned

Aug 11, 2015

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1679959860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26908 INDEPENDENCE WAY",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136373301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26908 INDEPENDENCE WAY",
            "address_2": "SUITE 102",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136373300",
            "telephone_number": "315-629-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JOSHUA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Boston, PT, DPT
• Shelby M Brand
• Anthony Robert Britton, DO
• Dustin S Buckingham, PHARMD
• John James Burnett, DO
• Sarah Byers
• Abdul Rehman Chaudhry, MD
• Alexa Lee Clemons, LMT
• Credo Community Center for the Treatment of Addictions
• Brooke Alison Davidson

• Physical Therapist in Evans Mills, NY
• Providers in Evans Mills, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.