Katie Lynn Butler, OTR/L

Individual provider Active NPI Occupational Therapist · Clinton, NC

NPI 1699163733 · NPPES record last updated Oct 26, 2018

Key facts

NPI
1699163733
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
11820 (NC)
Practice address
620 College St
Clinton, NC 28328
Phone
(910) 299-0700
Fax
(910) 299-0800
NPI assigned
Dec 23, 2014
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11820NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Speech and Language Rehabilitation Services, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 11820 NC Yes

Addresses

Primary practice location

620 College St
Clinton, NC 28328

Mailing address

PO Box 1414
Clinton, NC 28329-1414
Phone (910) 299-0700

Other practice location 1

500 Fairway Dr.
Suite 102
Deerfield Beach, FL 33441
Phone (910) 260-2835

Other providers in Clinton, NC

All providers in Clinton, NC · Occupational Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.