Mary Katharine Butker Williams, SLP INTERN

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP010899 Issued in GA

Practice address

181 Town Creek Rd
Aiken, SC 29803-5841

Phone

(803) 642-0700

Fax

(803) 642-0588

NPI assigned

Oct 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• Fox Rehabilitation Ga, LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1023544624

  Speech-Language Pathologist

  Medicare reassignment NPD
• Pediatric Therapy of Aiken, LLC

  • Occupational Therapist
  • Aiken, SC
  • NPI 1164661609

  Speech-Language Pathologist

  NPD (past)
• Pediatric Therapy of Aiken, LLC

  • Durable Medical Equipment & Medical Supplies
  • Aiken, SC
  • NPI 1588002026
  NPD (past)

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1841767548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 TOWN CREEK RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035841",
            "telephone_number": "803-642-0700",
            "fax_number": "803-642-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 TOWN CREEK RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035841",
            "telephone_number": "803-642-0700",
            "fax_number": "803-642-0588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 S Lake Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290723473",
            "country_code": "US",
            "telephone_number": "803-356-4782",
            "fax_number": "803-996-4782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTKER WILLIAMS",
        "first_name": "MARY",
        "middle_name": "KATHARINE",
        "credential": "SLP INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6724",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Burns
• Alisa B. Burrell, R.PH.
• Caitlen Burton, OTR/L
• Brooke Simecka Bush, LPC
• Rysheeka Nykeema Bush, LPC
• Cherell S. Butler, LISW, CP & AP
• Kimberly Smoak Butler, BSN, RN
• Reginald Orlando Butler, PTA
• Aundia Caldwell
• Kathryne Cammisa, OT

• Speech-Language Pathologist in Aiken, SC
• Providers in Aiken, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.