Richard Butcher, PTA

Individual provider Active NPI Physical Therapy Assistant · Barboursville, WV

NPI 1891476925 · NPPES record last updated Jul 31, 2023

Key facts

NPI
1891476925
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
002917 (WV)
Practice address
6007 US Route 60 E Ste 304
Barboursville, WV 25504-1045
Phone
(304) 525-0794
NPI assigned
Jul 31, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
002917WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Physical Therapy Services Inc Past
since Aug 6, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 002917 WV Yes

Addresses

Primary practice location

6007 US Route 60 E Ste 304
Barboursville, WV 25504-1045

Mailing address

2240 5TH Ave Ste 101
Huntington, WV 25703-1290
Phone (304) 525-4445

Other practice location 1

2240 5th Ave Ste 101
Huntington, WV 25703-1290
Phone (304) 525-4445

Other providers in Barboursville, WV

All providers in Barboursville, WV · Physical Therapy Assistant in West Virginia

Sources for this page

Verify at the official NPI Registry.