Mary Jo Butler Levene, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2650 Issued in WI

Practice address

W332N6219 County Road C
Nashotah, WI 53058-9435

Phone

(262) 853-8073

NPI assigned

Jul 19, 2018

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1770069072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W332N6219 COUNTY ROAD C",
            "city": "NASHOTAH",
            "state": "WI",
            "postal_code": "530589435",
            "telephone_number": "262-853-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W332N6219 COUNTY ROAD C",
            "city": "NASHOTAH",
            "state": "WI",
            "postal_code": "530589435",
            "telephone_number": "262-853-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENE",
        "first_name": "MARY JO",
        "middle_name": "BUTLER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "2650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Nashotah, WI
• Providers in Nashotah, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.