Individual provider Active NPI

Peter Butler, OT

  • Occupational Therapist
  • Pawtucket, RI
National Provider Identifier
1821547241
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT01586 Issued in RI
Practice address
461 Main St
Pawtucket, RI 02860-2913
Phone
(401) 722-1311
Fax
(401) 722-2246
NPI assigned
Sep 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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 OT01586 RI Primary

Addresses

Primary practice location

461 Main St
Pawtucket, RI 02860-2913

Mailing address

461 Main St
Pawtucket, RI 02860-2913
Phone (401) 722-1311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161130000666 RI Practitioner - Occupational Therapist in Private Practice 2769762244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspire Physical Therapy and Wellness, LLCGroup PAC ID 4688073448, 21 clinicians

Practice addresses (Care Compare)

19 Misquamicut Hills Rd
Westerly, RI 02891-4108
Phone (401) 378-1802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT01586RIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Physical Therapy and Wellness, LLC CurrentSince Nov 11, 2023 Accepting new patients
Advogenex Inc PastSince Nov 1, 2016 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": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1821547241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 MAIN ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602913",
            "telephone_number": "401-722-1311",
            "fax_number": "401-722-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 MAIN ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602913",
            "telephone_number": "401-722-1311",
            "fax_number": "401-722-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "PETER",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "OT01586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.