Individual provider Active NPI

Audrey Kathryn Butler, MOT,OTR/L

  • Occupational Therapist
  • Layton, UT
National Provider Identifier
1730680661
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13983485-4201 Issued in UT
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

Updated by the provider on Jul 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OT.010055OHMDOccupational Therapist
13983485-4201UTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Family Therapy Specialists Inc PastSince Jul 19, 2016 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.

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.

Verify at the official NPI Registry.