Individual provider Active NPI

Olivia Rae Butler, PT, DPT

  • Physical Therapist
  • Menomonie, WI
National Provider Identifier
1710819651
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17785 Issued in WI
Practice address
2919 Stout Rd
Menomonie, WI 54751-2313
Phone
(715) 953-4040
Fax
(715) 313-7000
NPI assigned
Jun 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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 17785 WI Primary

Addresses

Primary practice location

2919 Stout Rd
Menomonie, WI 54751-2313

Mailing address

1200 Oakleaf Way Ste B
Altoona, WI 54720-2217
Phone (715) 839-9266

Other practice location 1

1200 Oakleaf Way Ste B
Altoona, WI 54720-2217
Phone (715) 839-9266

Other practice location 2

757 Lakeland Dr Ste A
Chippewa Falls, WI 54729-1671
Phone (715) 723-5060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260625002141 WI Practitioner - Physical Therapist in Private Practice 0547733073

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwoods Sport and Hand IncGroup PAC ID 9032399118, 28 clinicians

Practice addresses (Care Compare)

2919 Stout Rd
Menomonie, WI 54751-2313
Phone (715) 839-9266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17785WIMDPhysical Therapist

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.

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1710819651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OAKLEAF WAY STE B",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202217",
            "telephone_number": "715-839-9266",
            "fax_number": "715-839-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 STOUT RD",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512313",
            "telephone_number": "715-953-4040",
            "fax_number": "715-313-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Oakleaf Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "WI",
            "postal_code": "547202217",
            "country_code": "US",
            "telephone_number": "715-839-9266",
            "fax_number": "715-839-8761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "757 Lakeland Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547291671",
            "country_code": "US",
            "telephone_number": "715-723-5060",
            "fax_number": "715-723-5149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "OLIVIA",
        "middle_name": "RAE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "17785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.