Tyler Keith Butler, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

09300 Issued in LA

Practice address

522 Cypress St
Sulphur, LA 70663-5050

Phone

(337) 533-8410

Fax

(337) 533-8411

NPI assigned

Jan 12, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Performance Physical Therapy and Sports Rehab, LLCGroup PAC ID 8123565595, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peak Performance Physical Therapy & Sports Rehab, LLC

  • Physical Therapist
  • Sulphur, LA
  • NPI 1316701626

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1760848428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635050",
            "telephone_number": "337-533-8410",
            "fax_number": "337-533-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635050",
            "telephone_number": "337-533-8410",
            "fax_number": "337-533-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "TYLER",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Paul Broussard II
• Linda Marie Brown, LCSW
• Madison Brown
• Melissa Lynn Brown, APRN
• Brieanna Buford
• Sabrina Teel Butts, LCOTA
• Byrdworth Medical LLC
• C H Wilkinson Physician Network
• Calcasieu Cameron Emergency Physician Group LLC
• Calcasieu Cameron Hospital Medicine Group LLC

• Physical Therapist in Sulphur, LA
• Providers in Sulphur, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.