Individual provider Active NPI

Sandra U Buttine, OTR

  • Occupational Therapist
  • Dallas, TX
National Provider Identifier
1760509459
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
103455 Issued in TX
Practice address
12880 Hillcrest Rd
Suite 102
Dallas, TX 75230-1532
Phone
(972) 387-1100
Fax
(972) 692-7332
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 103455 TX Primary

Addresses

Primary practice location

12880 Hillcrest Rd
Suite 102
Dallas, TX 75230-1532

Mailing address

13739 Sprucewood Cir
Dallas, TX 75240-3629
Phone (972) 392-4402

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103455TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy C. Havenor Past Accepting new patients
Playworks Pediatric Therapy Services Inc Occupational Therapist Past Accepting new patients

Organizations & group practices 2

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760509459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13739 SPRUCEWOOD CIR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752403629",
            "telephone_number": "972-392-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12880 HILLCREST RD",
            "address_2": "SUITE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301532",
            "telephone_number": "972-387-1100",
            "fax_number": "972-692-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTINE",
        "first_name": "SANDRA",
        "middle_name": "U",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "103455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.