Active NPI
John Lawrence Butts, PT
- Physical Therapist
- Puyallup, WA
National Provider Identifier
1881703908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00002255
- Practice address
- 3912 10TH St SE
Ste a
Puyallup, WA 98374-2188 - Phone
- (253) 848-4700
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00002255 | WA | Primary |
Addresses
Primary practice location
3912 10TH St SE
Ste a
Puyallup, WA 98374-2188
Mailing address
3912 10TH St SE
Ste a
Puyallup, WA 98374-2188
Phone (253) 848-4700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8149106 | Medicaid | WA | |
| 17717 | Other | WA | LABOR & INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Therapy Options LLC | Past | Accepting new patients | |
| Westside Physical Therapy and Sports Medicine Inc PS | Physical Therapist | Past | Accepting new patients |
Locations
6825 Burden Blvd
Ste D
Pasco, WA 99301
Phone (509) 416-0444
2418 Garlick Blvd
Richland, WA 99354
Phone (509) 375-1015
Organizations & group practices 3
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.
-
- Physical Therapist
- Yakima, WA
- NPI 1821080987
-
- Physical Therapist
- Pasco, WA
- NPI 1558419135
-
- Occupational Therapist
- Burbank, WA
- NPI 1679001580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1881703908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3912 10TH ST SE",
"address_2": "STE A",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983742188",
"telephone_number": "253-848-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3912 10TH ST SE",
"address_2": "STE A",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983742188",
"telephone_number": "253-848-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTS",
"first_name": "JOHN",
"middle_name": "LAWRENCE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00002255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8149106",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "17717",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.