Active NPI
Audrey Kathryn Butler, MOT,OTR/L
- Occupational Therapist
- Layton, UT
National Provider Identifier
1730680661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13983485-4201
- Practice address
- 201 W Layton Pkwy
Layton, UT 84041-3692 - Phone
- (801) 543-6630
- NPI assigned
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.010055 | OH | |
| Occupational Therapist | 225X00000X | 251627 | KY | |
| Occupational Therapist | 225X00000X | 13983485-4201 | UT | Primary |
Addresses
Primary practice location
201 W Layton Pkwy
Layton, UT 84041-3692
Mailing address
201 W Layton Pkwy
Layton, UT 84041-3692
Other practice location 1
1700 Thomas Paine Pkwy
Centerville, OH 45459-2541
Phone (937) 428-6273
Other practice location 2
1700 Thomas Paine Pkwy
Centerville, OH 45459-2541
Phone (937) 428-6273
Other practice location 3
71 Orphanage Rd
Ft Mitchell, KY 41017
Phone (859) 331-0880 ext. 341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT.010055 | OH | MD | Occupational Therapist |
| 13983485-4201 | UT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Family Therapy Specialists Inc | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Centerville, OH
- NPI 1508288804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1730680661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W LAYTON PKWY",
"city": "LAYTON",
"state": "UT",
"postal_code": "840413692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W LAYTON PKWY",
"city": "LAYTON",
"state": "UT",
"postal_code": "840413692",
"telephone_number": "801-543-6630"
}
],
"practiceLocations": [
{
"address_1": "1700 Thomas Paine Pkwy",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454592541",
"country_code": "US",
"telephone_number": "937-428-6273",
"fax_number": "937-428-6274",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 Thomas Paine Pkwy",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454592541",
"country_code": "US",
"telephone_number": "937-428-6273",
"fax_number": "937-428-6274",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "71 Orphanage Rd",
"address_purpose": "LOCATION",
"city": "Ft Mitchell",
"state": "KY",
"postal_code": "41017",
"country_code": "US",
"telephone_number": "859-331-0880 x341",
"fax_number": "859-331-6177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTLER",
"first_name": "AUDREY",
"middle_name": "KATHRYN",
"credential": "MOT,OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-26",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT.010055",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "251627",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "13983485-4201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.