Individual provider Active NPI

Richard Butcher, PTA

  • Physical Therapy Assistant
  • Barboursville, WV
National Provider Identifier
1891476925
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
002917 Issued in WV
Practice address
6007 US Route 60 E Ste 304
Barboursville, WV 25504-1045
Phone
(304) 525-0794
NPI assigned
Jul 31, 2023
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

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

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

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
002917WVMDPhysical Therapy Assistant

Practice roles

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1891476925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 5TH AVE STE 101",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031290",
            "telephone_number": "304-525-4445",
            "fax_number": "304-529-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 US ROUTE 60 E STE 304",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041045",
            "telephone_number": "304-525-0794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2240 5th Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257031290",
            "country_code": "US",
            "telephone_number": "304-525-4445",
            "fax_number": "304-529-7449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "RICHARD",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "002917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.