NPIMap

Organization Active NPI

Butte Premier Physical Therapy Inc

  • Physical Therapist
  • Chico, CA
National Provider Identifier
1790967735
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29876 Issued in CA
Legal business name
BUTTE PREMIER PHYSICAL THERAPY INC
Practice address
125 Raley Boulevard
Chico, CA 95928
Phone
(530) 891-8220
Fax
(530) 891-8226
NPI assigned
Dec 1, 2007
Last updated
Jul 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Authorized official

Name
Leigh Langerwerf, P.T.NPI 1831115609
Title
Owner
Phone
(530) 891-8220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT29876 CA Primary
Physical Therapist 225100000X CA

Addresses

Primary practice location

125 Raley Boulevard
Chico, CA 95928

Mailing address

125 Raley Blvd
Chico, CA 95928-8347
Phone (530) 891-8220

Other identifiers 1

IdentifierTypeStateIssuer
PT29876OtherCACA PT LICENSE NUBMER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081023000356 CA Part B Supplier - Clinic/Group Practice 7618035429 Receives reassigned benefits from 11 practitioners
Practice locations: Chico, CA

National Provider Directory

National Provider Directory

Locations

125 Raley Blvd
Chico, CA 95928
Phone (530) 891-8220

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1196467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1790967735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 RALEY BLVD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288347",
            "telephone_number": "530-891-8220",
            "fax_number": "530-891-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RALEY BOULEVARD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "95928",
            "telephone_number": "530-891-8220",
            "fax_number": "530-891-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTE PREMIER PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-01",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "LANGERWERF",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-891-8220",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29876",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PT LICENSE NUBMER",
            "identifier": "PT29876",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.